Lanzillotta, Jamie

Lanzillotta, Jamie is an individual health care provider with primary practice located at 145 Franklin Place Five Towns Pediatrics, Woodmere NY 11598. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lanzillotta, Jamie can be contacted via phone (516) 295-1200.

Contact Information

Primary practice address
145 Franklin Place Five Towns Pediatrics Woodmere NY 11598
Fax: (516) 295-1207
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X HOO63953 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 243824 New York

Profile Details

NPI number 1619029626
LBN Legal business name Lanzillotta, Jamie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619029626 NPPES
New York MEDICAID 04013636

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