Provider Demographics
NPI:1285871962
Name:PURPURA MD LAZZARA DO & SGARLATO MD PC
Entity type:Organization
Organization Name:PURPURA MD LAZZARA DO & SGARLATO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:PURPURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-232-0703
Mailing Address - Street 1:8684 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3409
Mailing Address - Country:US
Mailing Address - Phone:718-232-0703
Mailing Address - Fax:718-232-3296
Practice Address - Street 1:8684 15TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3409
Practice Address - Country:US
Practice Address - Phone:718-232-0703
Practice Address - Fax:718-232-3296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care