Healthcare Provider Details

I. General information

NPI: 1316076029
Provider Name (Legal Business Name): JOSE ARTURO SANCHEZ-LACAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 FULTON AVE FL 5 BRONX-LEBANON HOSPITAL CENTER
BRONX NY
10456-3402
US

IV. Provider business mailing address

265 GLEN AVE # B
PALISADES PARK NJ
07650-1523
US

V. Phone/Fax

Practice location:
  • Phone: 718-466-7281
  • Fax:
Mailing address:
  • Phone: 201-461-5122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number160912-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: