# LAMD MEDICAL GROUP AND MULTISPECIALTY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAMD MEDICAL GROUP AND MULTI SPECIALTY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992160758
- **Authorized official:** LOREN A. MARTINEZ PA (GEN. OPERATIONAL MANAGER)
- **Authorized official phone:** (718) 639-3603

## Contact information

- **Practice address:** 6506 ROOSEVELT AVE, WOODSIDE, NY 11377-2928
- **Practice address phone:** (718) 639-3603
- **Practice address fax:** (718) 639-3605
- **Mailing address:** 6506 ROOSEVELT AVE, WOODSIDE, NY 11377-2928
- **Mailing address phone:** (718) 639-3603
- **Mailing address fax:** (718) 639-3605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 214048 | NY | Yes |

## Other

- **Enumeration date:** 12/22/2015
- **Last updated:** 09/11/2025