Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 096553-1 | NY |
Y | 111NI0900X | Internist | 096553-1 | NY |
N | 207RH0000X | Hematologist | 096553-1 | NY |
NPI | 1417343484 |
---|---|
Provider Name | Mr. Parviz Lalezari |
First Address | Scarsdale, NY 10583 |
Second Address | Scarsdale, NY 10583 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2015 |
Last Update Date | 07/04/2015 |