Healthcare Provider Details

I. General information

NPI: 1003824046
Provider Name (Legal Business Name): JOSIANE LAJOIE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 E 34TH ST
NEW YORK NY
10016-4852
US

IV. Provider business mailing address

18 E 41ST ST STE 1206
NEW YORK NY
10017-6222
US

V. Phone/Fax

Practice location:
  • Phone: 646-558-0800
  • Fax:
Mailing address:
  • Phone: 212-725-8511
  • Fax: 212-726-7417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number209572
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: