Healthcare Provider Details

I. General information

NPI: 1689594145
Provider Name (Legal Business Name): LASZLO JARESS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 ECKFORD ST
BROOKLYN NY
11222-3218
US

IV. Provider business mailing address

168 ECKFORD ST
BROOKLYN NY
11222-3218
US

V. Phone/Fax

Practice location:
  • Phone: 206-753-9978
  • Fax:
Mailing address:
  • Phone: 206-753-9978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number130293
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: