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General NPI Number Information
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NPI Number | 1285672709
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Entity Type | Individual
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Provider Name | CHIOMA N LAZZ M.D
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Gender | Female
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 05/02/2017
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Provider Practice Location Address
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Address Line | 333 ROEBLING ST
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City | BROOKLYN
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State | NY
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Zip | 11211-6204
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Country | US
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Telephone | 718-387-6407
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Fax |
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Provider Business Mailing Address
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Address Line | 24511 149TH RD
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City | ROSEDALE
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State | NY
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Zip | 11422-2717
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Country | US
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Telephone | 718-723-1198
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Fax | 718-723-1198
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 196114
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License Number State | NY
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