Whalio Doctors

NPI 1114086121

John Wayne Lazar, PHD

Practitioner Clinical Neuropsychologist Manhasset, NY

Practice location

Address
300 Community Dr, Manhasset, NY 11030-3816
Phone
(516) 562-3054
Fax
(516) 562-2830
Mailing address
155 Kensington Rd S, Garden City, NY 11530-5614

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 6344 (NY)

Registry record

NPI
1114086121
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Dec 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.