Individual
JOEL DAN LASKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 BROADWAY RM 2C319, BROOKLYN, NY 11206-5317
(404) 414-5250
Mailing address
323 W 96TH ST, NEW YORK, NY 10025-6191
(404) 414-5250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063133
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2022
Last updated
08/08/2023
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