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NPI Code Detail

MEDICARE: MARIO LANIADO EMT-B, PHLEBOTOMIST

MEDICARE: MARIO LANIADO EMT-B, PHLEBOTOMIST
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
1246RP1900XPhlebotomy Technician041122NY
2363A00000XPhysician Assistant
3146N00000XBasic Emergency Medical Technician461860NY

General Provider Information

NPI Number : 1710621479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO LANIADO EMT-B, PHLEBOTOMIST
Provider Business Mailing Address
First Line : 4802 10TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2916
Country : US
Telephone Number : 862-253-1406
Fax Number :
Provider Business Practice Location Address
First Line : 4802 10TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2916
Country : US
Telephone Number : 862-253-1406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2022
Last Update Date : 06/19/2026

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Directions to “ MARIO LANIADO EMT-B, PHLEBOTOMIST” Practice Location

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