Stephen Ralph Lasala, M.D. Valid NPI

Individual provider · Pediatrics Physician · Manhasset, NY

NPI

1700958386

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

126559 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-15

Last updated

2007-07-08