Individual provider · Type 1 NPI

Brandon Lazarus

Surgical Physician Assistant · Rockville Centre, NY

NPI number 1992272694 Active

Practice location

1000 N Village Ave
Rockville Centre, NY 11570-1000

Mailing address

1391 Bellmore Rd
North Bellmore, NY 11710-3747

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X022925-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1992272694

Brandon Lazarus's National Provider Identifier is 1992272694, issued on Oct 31, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rockville Centre, NY. The record was last updated on Oct 31, 2018.