Kathleen Derosa Lazare, DO is a
General Practice physician based in Hillsdale, New York. Kathleen Derosa Lazare is licensed to practice in New York (license number 254105) and her current practice location is 44 Dawson Rd, Hillsdale, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 325-6867.
NPI number for Kathleen Derosa Lazare is 1811158710 and her current mailing address is 44 Dawson Rd, Hillsdale, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811158710.
Physician's Profile
Full Name | Kathleen Derosa Lazare |
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Gender | Female |
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Speciality | General Practice |
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Location | 44 Dawson Rd, Hillsdale, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811158710
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 09/16/2009
Medical Identifiers
Medical identifiers for Kathleen Derosa Lazare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811158710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 254105 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Derosa Lazare is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathleen Derosa Lazare, DO 44 Dawson Rd, Hillsdale, NY 12529-5512 Ph: (518) 325-6867 | Kathleen Derosa Lazare, DO 44 Dawson Rd, Hillsdale, NY 12529-5512 Ph: (518) 325-6867 |
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