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NPI Code Detail

MEDICARE: LALKO BRASNAROV PA

MEDICARE:   LALKO  BRASNAROV  PA
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
1363AM0700XMedical Physician Assistant009464NY

General Provider Information

NPI Number : 1538116926
Entity Type Code : Individual
Provider Name (Legal Business Name) : LALKO BRASNAROV PA
Provider Business Mailing Address
First Line : 1910 ARTHUR AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-6305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1910 ARTHUR AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-6305
Country : US
Telephone Number : 718-466-8244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 01/26/2017

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Directions to “ LALKO BRASNAROV PA” Practice Location

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