Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 144002 | NY |
NPI | 1538281282 |
---|---|
Provider Name | Karen Lazarus |
First Address | Brooklyn, NY 11215-8019 |
Second Address | Brooklyn, NY 11215-8019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 30/11/2012 |