Stephen Ralph Lasala M.D.

NPI 1700958386 - Pediatrics - 208000000X

NPI Details
NPI 1700958386
Gender Male
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
450 PLANDOME RD
MANHASSET NY, 11030-1937, US
Phone (516) 627-6555
Fax (516) 627-6651
Business Location
450 PLANDOME RD
MANHASSET NY, 11030-1937, US
Phone (516) 627-6555
Fax (516) 627-6651
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 126559
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According to our database, Stephen Ralph Lasala M.D. NPI is 1700958386, taxonomy code is 208000000X and license number is 126559, license state is located at New York. Stephen Ralph Lasala M.D. physically located at 450 Plandome Rd, Manhasset NY, 11030-1937. NPI Number Stephen Ralph Lasala M.D. has the Individual type.

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1700958386 NPI number is provided on an as is basis without warranty of any kind. 1700958386 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Ralph Lasala M.D. are for informational purposes only.