Bernardita T Lazo MD PC

NPI #1033572797 in Islip, New York

Provider Information

NPI Number: 1033572797
Entity Type: Organization
Organization Name: Bernardita T Lazo MD PC
Primary Specialty: Specialist
Enumeration Date: Mar 31, 2016
Last Updated: Mar 31, 2016

Practice Location

Address: 2330 UNION BLVD
City: Islip
State: New York
ZIP Code: 11751-3172
Phone: (631) 224-4811

Authorized Official

Name: DR. BERNARDITA T LAZO
Title: DOCTOR
Phone: (631) 224-4811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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