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Individual

DR. DAVID LAKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4895
Mailing address
214 W 116TH ST, 1ST FLOOR, NEW YORK, NY 10026-2494
(646) 432-4600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203546
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
203546
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02349099
NY
Enumeration date
05/18/2007
Last updated
01/25/2016
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