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NPI Code Detail

MEDICARE: EUSTACE LAURISTON LASHLEY M.D.

MEDICARE:   EUSTACE LAURISTON LASHLEY  M.D.
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
1207P00000XEmergency Medicine Physician140842NY
2207R00000XInternal Medicine Physician140842NY

Other Identifiers

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

General Provider Information

NPI Number : 1841383700
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUSTACE LAURISTON LASHLEY M.D.
Provider Business Mailing Address
First Line : PO BOX 250142
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-0142
Country : US
Telephone Number : 718-282-0100
Fax Number : 718-693-8317
Provider Business Practice Location Address
First Line : 1847 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5005
Country : US
Telephone Number : 718-282-0100
Fax Number : 718-693-8317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 01/28/2021

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Directions to “ EUSTACE LAURISTON LASHLEY M.D.” Practice Location

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