Physician Compare National (NPI:1477852937)

HEALTHCARE PROVIDER: ANDREAS MICHAEL LAMELAS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477852937
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244588499
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190214000493
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LAMELAS
	Individual professional last name
Provider First Name	ANDREAS
	Individual professional first name
Provider Middle Name	MICHAEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	21 READE PL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2100
	Group Practice or individual's line 2 address
City	POUGHKEEPSIE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	126013968
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2038630003
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M