Lazcano Procare Inc

Key facts

NPI

1033599600

Entity type

Organization (NPI type 2)

Primary specialty

Early Intervention Provider Agency 252Y00000X

License

024082 (NY)

Legal business name

LAZCANO PROCARE INC

Practice address

5852 43Rd Ave # 2R
Woodside, NY 11377-4852

Phone

(718) 305-2173

Fax

(718) 305-2173

NPI assigned

Jun 8, 2015

Organization subpart

No

Authorized official

Name

Irene Enriquez Lazcano, R.P.T.

Title

Vice President

Phone

(646) 262-9876

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene Mariano Lazcano, P.T. Physical Therapist · Brooklyn, NY · NPI 1710160809
  NPD (past)

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2015.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1033599600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5852 43RD AVE # 2R",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774852",
            "telephone_number": "718-305-2173",
            "fax_number": "718-305-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5852 43RD AVE # 2R",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774852",
            "telephone_number": "718-305-2173",
            "fax_number": "718-305-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZCANO PROCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "LAZCANO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "ENRIQUEZ",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "646-262-9876",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "024082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

• Rose Marie Castillo Lardizabal, OTR/L
• Elena Larocca, MACCC-SLP
• Armando Rubante Larraga, D.M.D.
• Latino Support LCSW, P.C
• Aaron Lauber, LMHC
• LCG Counseling Services, LCSW, P.C.
• Anh-Viet Pham Le, PHARM.D.
• Thu Le
• Brian Lee
• Buja Lee

All providers in Woodside, NY · Early Intervention Provider Agency in New York