| NPI | 1801952825 |
|---|---|
| Doing Business As | ELLEN H. LAZAR SHOPPE ON FIFTH |
| Entity Type | Organization |
| Authorized Contact | CONSTANCE M. NICLAS Supervisor 201-996-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-06-30 |