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NPI Code Detail

MEDICARE: RACHEL LASAR

MEDICARE: RACHEL LASAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist010733-1NY

General Provider Information

NPI Number : 1043648587
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LASAR
Provider Business Mailing Address
First Line : 2 GRIDLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 GRIDLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2204
Country : US
Telephone Number : 718-448-7774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2013
Last Update Date : 10/18/2013

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Directions to “ RACHEL LASAR ” Practice Location

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