# COMPLETE MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780918771
- **Authorized official:** DR. DAVID LAKS MD (DIRECTOR OF PC)
- **Authorized official phone:** (718) 850-6345

## Contact information

- **Practice address:** 13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
- **Practice address phone:** (718) 850-6345
- **Practice address fax:** (718) 559-4895
- **Mailing address:** 13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
- **Mailing address phone:** (718) 850-6345
- **Mailing address fax:** (718) 559-4895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 203546 | NY | — |
| 207QA0505X | Adult Medicine Physician | 203546 | NY | Yes |
| 213E00000X | Podiatrist | N004931 | NY | — |

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 09/24/2009