Doctor Name: | MR. JOSEPH D LAZARO |
NPI Number: | 1003898891 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 022218-1 |
Business Practice Address: | 111 Sullivan Ave Suite 1-6 Ferndale, NY - 127344315 |
Business Phone Number: | 8452920890 |
Business Fax Number: | 8452920940 |
Mailing Address: | 111 Sullivan Ave, Suite 1-6 FERNDALE |
State: | NY |
Postal Code: | 127344315 |
Phone Number: | 8452920890 |
Fax Number: | 8452920940 |
NPI Enumeration Date: | 11/16/2005 |
NPI Last Update Date: | 09/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 022218-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |