Lazar, Ronald M.

Lazar, Ronald M. is an individual health care provider with primary practice located at 710 W 168Th Street , New York NY 10032-2699. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Lazar, Ronald M. can be contacted via phone (212) 305-4749.

Contact Information

Primary practice address
710 W 168Th Street New York NY 10032-2699
Phone: (212) 305-4749
Fax: (212) 305-3741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 7023 New York

Profile Details

NPI number 1851483408
LBN Legal business name Lazar, Ronald M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated May 30th, 2012 - about 13 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 1851483408 NPPES
New York MEDICAID 01622155

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