Individual
AJAY LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BETH ISRAEL MEDICAL CENTER/PETRIE DIVISON, 1ST AVENUE AT 16TH ST., NEW YORK, NY 10003
(212) 420-2385
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
209992
NY
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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