Individual
DR. LANCER NAGHDECHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 E 80TH ST STE 1D, NEW YORK, NY 10075
(646) 363-6303
Mailing address
404 E 79TH ST APT 11D, NEW YORK, NY 10075-1406
(646) 363-6303
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MB11122100
NJ
2084P0800X
Psychiatry Physician
309089
NY
2084P0804X
Child & Adolescent Psychiatry Physician
25MB11122100
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
309809
NY
Other
Enumeration date
03/28/2018
Last updated
10/04/2023
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