Healthcare Provider Details

I. General information

NPI: 1730509837
Provider Name (Legal Business Name): ROBERT ANTHONY LASKOWSKI II MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 VAN WYCK EXPY
RICHMOND HILL NY
11418-2897
US

IV. Provider business mailing address

8900 VAN WYCK EXPRESSWAY C BUILDING 2ND FLOOR TRAUMA SUITE
RICHMOND HILL NY
11418
US

V. Phone/Fax

Practice location:
  • Phone: 718-206-6000
  • Fax: 718-206-6797
Mailing address:
  • Phone: 718-206-6000
  • Fax: 718-206-6797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number308446
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number308446
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number308446
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: