Healthcare Provider Details

I. General information

NPI: 1982862330
Provider Name (Legal Business Name): MICHAEL LAZAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2008
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 10TH AVENUE
NEW YORK NY
10019
US

IV. Provider business mailing address

ANESTHESIOLOGY DEPARTMENT OF MOUNT SINAI PO BOX 28082
NEW YORK NY
10087
US

V. Phone/Fax

Practice location:
  • Phone: 212-987-3100
  • Fax:
Mailing address:
  • Phone: 212-987-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number265007
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number265007
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: