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NPI Code Detail

MEDICARE: ERICA LAKCHAKOV MD

MEDICARE: ERICA LAKCHAKOV MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician25MA12519700NJ
22084P0800XPsychiatry Physician334137NY

General Provider Information

NPI Number : 1275028979
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA LAKCHAKOV MD
Provider Business Mailing Address
First Line : 109 W 27TH ST RM 5S
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6208
Country : US
Telephone Number : 833-351-8255
Fax Number :
Provider Business Practice Location Address
First Line : 109 W 27TH ST RM 5S
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6208
Country : US
Telephone Number : 833-351-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2018
Last Update Date : 04/14/2026

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