Organization
JAMES D. LAX, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D LAX M.D. (OWNER)
(212) 988-5740
Entity
Organization
Contact information
Practice address
160 E 72ND ST, NEW YORK, NY 10021-4357
(212) 988-5740
(212) 988-0462
Mailing address
160 E 72ND ST, NEW YORK, NY 10021-4357
(212) 988-5740
(212) 988-0462
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
152612
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72D791
MEDICARE PTAN
NY
Enumeration date
02/01/2012
Last updated
04/27/2012
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