MEDICARE: DR. JOSEPH P. LALKA 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
1	207Q00000X	Family Medicine Physician	139020	NY
2	207Q00000X	Family Medicine Physician	47307	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740292838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH P. LALKA MD

Provider Business Mailing Address
First Line	:	159 JEFFERSON HTS, GMA SUITE A102
Second Line	:	CATSKILL VA PRIMARY CARE
City	:	CATSKILL
State	:	NY
Zip	:	12414-1204
Country	:	US
Telephone Number	:	518-626-5240
Fax Number	:	518-943-7289

Provider Business Practice Location Address
First Line	:	159 JEFFERSON HTS, GMA SUITE A102
Second Line	:	CATSKILL VA PRIMARY CARE
City	:	CATSKILL
State	:	NY
Zip	:	12414-1204
Country	:	US
Telephone Number	:	518-626-5240
Fax Number	:	518-943-7289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	11/16/2012

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