Provider Demographics
NPI:1700957404
Name:LAZAR, ZOE L (EDD)
Entity Type:Individual
Prefix:DR
First Name:ZOE
Middle Name:L
Last Name:LAZAR
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 OLD ARMY RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2652
Mailing Address - Country:US
Mailing Address - Phone:914-723-4893
Mailing Address - Fax:914-723-4886
Practice Address - Street 1:101 OLD ARMY RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2652
Practice Address - Country:US
Practice Address - Phone:914-723-4893
Practice Address - Fax:914-723-4886
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005046103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist