DEREK LEZAMA

BROOKLYN, NY
NPI1316081581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111NR0400X 
(Licence: NY  007667)
Enumeration Date2007-02-19
Last Update Date2007-07-08
Business Address
Dr. DEREK LEZAMA
5455 KINGS HWY
BROOKLYN, NY 11203-6040
Phone number: 718-629-4020
Mailing Address
Dr. DEREK LEZAMA
5455 KINGS HWY
BROOKLYN, NY 11203-6040
Phone number: 718-629-4020