Organization
JACQUELYN S. LAHOUD, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN S LAHOUD M.D. (PRESIDENT)
(917) 414-4505
Entity
Organization
Contact information
Practice address
7515 13TH AVE, BROOKLYN, NY 11228-2409
(917) 414-4505
Mailing address
9917 SHORE RD APT 4C, BROOKLYN, NY 11209-7925
(917) 414-4505
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
272160
NY
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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