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NPI Code Detail

MEDICARE: MRS. LAUREN AZUOLAY P.T.

MEDICARE: MRS. LAUREN AZUOLAY P.T.
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
1225100000XPhysical Therapist020578-01NY

General Provider Information

NPI Number : 1295980266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN AZUOLAY P.T.
Provider Business Mailing Address
First Line : 53 HARMON DR
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-1811
Country : US
Telephone Number : 914-630-1567
Fax Number :
Provider Business Practice Location Address
First Line : 20 CEDAR ST
Second Line : SUITE 302
City : NEW ROCHELLE
State : NY
Zip : 10801-5247
Country : US
Telephone Number : 914-576-5292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2008
Last Update Date : 06/28/2012

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