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General NPI Number Information
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NPI Number | 1760607311
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Entity Type | Organization
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Legal Business Name | ROBERT M LAZAR MD PC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1092 JERICHO TPKE STE 2S
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City | COMMACK
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State | NY
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Zip | 11725-3016
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Country | US
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Telephone | 631-543-8660
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Fax | 631-543-8661
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Provider Business Mailing Address
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Address Line | 1092 JERICHO TPKE STE 2S
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City | COMMACK
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State | NY
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Zip | 11725-3016
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Country | US
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Telephone | 631-543-8660
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Fax | 631-543-8661
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | RICHARD CHARLES FELDSTEIN
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Credential | MD
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Telephone | 631-543-8660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 153441
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License Number State | NY
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