Barazani, Lance

Barazani, Lance is an individual health care provider with primary practice located at 5847 188Th St , Fresh Meadows NY 11365-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Barazani, Lance can be contacted via phone (718) 357-8200.

Contact Information

Primary practice address
5847 188Th St Fresh Meadows NY 11365-2201
Fax: (718) 357-5770
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 171519 New York

Profile Details

NPI number 1518967025
LBN Legal business name Barazani, Lance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jun 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518967025 NPPES
New York MEDICAID 01689032

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