Healthcare Provider Details

I. General information

NPI: 1689822918
Provider Name (Legal Business Name): CHRISTINE LAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE LAI M.D.

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 09/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13620 38TH AVE STE. 6E
FLUSHING NY
11354-4233
US

IV. Provider business mailing address

5 E 98TH ST BOX 1174
NEW YORK NY
10029-6501
US

V. Phone/Fax

Practice location:
  • Phone: 718-353-7701
  • Fax: 718-353-7709
Mailing address:
  • Phone: 212-241-9393
  • Fax: 212-241-3023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number60250068
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: