Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F403173-01 | NY |
NPI | 1033707211 |
---|---|
Provider Name | Victoria Lanzara |
First Address | New York, NY 10001-7207 |
Second Address | New York, NY 10003-3804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2021 |
Last Update Date | 04/01/2021 |