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1144690405
MATTHEW WATKINS LAZAR
SUNNYSIDE, NY
NPI
1144690405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019172)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
MATTHEW WATKINS LAZAR PA-C
3941 50TH AVE 2ND FL
SUNNYSIDE, NY 11104-4108
Phone number: 904-228-8611
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Mailing Address
MATTHEW WATKINS LAZAR PA-C
3941 50TH AVE 2ND FL
SUNNYSIDE, NY 11104-4108
Phone number: 904-228-8611
Copy
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