Provider Demographics
NPI:1487294971
Name:JOHN A. LANZONE, M.D., P.C
Entity type:Organization
Organization Name:JOHN A. LANZONE, M.D., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDAENA
Authorized Official - Middle Name:
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-877-1414
Mailing Address - Street 1:173 MINEOLA BLVD STE 406
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2555
Mailing Address - Country:US
Mailing Address - Phone:516-877-1414
Mailing Address - Fax:516-877-7120
Practice Address - Street 1:173 MINEOLA BLVD STE 406
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2555
Practice Address - Country:US
Practice Address - Phone:516-877-1414
Practice Address - Fax:516-877-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty