Healthcare Provider Details

I. General information

NPI: 1902810229
Provider Name (Legal Business Name): VICTOR M LAGMAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 49TH ST
BROOKLYN NY
11219-2923
US

IV. Provider business mailing address

120 E 29TH ST
NEW YORK NY
10016-8032
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-6261
  • Fax: 718-283-8261
Mailing address:
  • Phone: 646-918-6384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number193979-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: