Provider Demographics
NPI:1629642293
Name:FRANK LALEZAR MD PC
Entity Type:Organization
Organization Name:FRANK LALEZAR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:LALEZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-652-3222
Mailing Address - Street 1:12 CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-2004
Mailing Address - Country:US
Mailing Address - Phone:516-652-3322
Mailing Address - Fax:
Practice Address - Street 1:885 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5303
Practice Address - Country:US
Practice Address - Phone:516-652-3222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty