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1912635996
ERIK LAZO DE LA VEGA
BROOKLYN, NY
NPI
1912635996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 049419)
Enumeration Date
2022-08-09
Last Update Date
2024-04-23
Business Address
ERIK LAZO DE LA VEGA DPT
142 PROSPECT PARK W
BROOKLYN, NY 11215-4506
Phone number: 718-230-1180
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Mailing Address
ERIK LAZO DE LA VEGA DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-294-4050
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