MEDICARE: DR. ALEXANDRA J. LANSKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	216597	NY
2	207RI0011X	Interventional Cardiology Physician	216597	NY
3	1744R1102X	Research Study Specialist	049263	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336227172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA J. LANSKY MD

Provider Business Mailing Address
First Line	:	300 GEORGE ST
Second Line	:	SUITE 759
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-6624
Country	:	US
Telephone Number	:	203-737-2142
Fax Number	:	203-737-6118

Provider Business Practice Location Address
First Line	:	300 GEORGE ST
Second Line	:	SUITE 759
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-6624
Country	:	US
Telephone Number	:	203-737-2142
Fax Number	:	203-737-6118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	10/18/2010

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