John Wayne Lazar in Manhasset - Clinical Neuropsychologist

John Wayne Lazar - NPI 1114086121

John Wayne Lazar is a Clinical Neuropsychologist in Manhasset, New York. John Wayne Lazar practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for John Wayne Lazar is 1114086121. The last update date is 2007-07-08.

John Wayne Lazar's current location address is 300 Community Dr, Manhasset, New York. You can contact this provider via phone number 5165623054 and fax number 5165622830. The mailing address for John Wayne Lazar is 300 Community Dr, Manhasset, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name John Wayne Lazar
Address 300 Community Dr, Manhasset, New York
Phone Number 5165623054
Fax Number 5165622830
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1114086121
Provider Enumeration Date 2006-12-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 300 Community Dr
City Manhasset
State New York (NY)
Post Code 110303816
Phone Number 5165623054
Fax Number 5165622830

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 6344
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about John Wayne Lazar

What is the unique identifier code issued to John Wayne Lazar by the Centers for Medicare & Medicaid Services?

The John Wayne Lazar has been assigned the NPI (National Provider Identifier) 1114086121. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the John Wayne Lazar's physical address?

The John Wayne Lazar is physically located at 300 Community Dr, in the city of Manhasset, NY, with the postal code 110303816.

What is the John Wayne Lazar's specialty and taxonomy code?

The John Wayne Lazar's specialty is Clinical Neuropsychologist, and the corresponding taxonomy code is 103G00000X.

On what date was the 1114086121 assigned to John Wayne Lazar?

The John Wayne Lazar was issued its 1114086121 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to John Wayne Lazar most recently updated or revised?

The details related to John Wayne Lazar, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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