Individual
GAJANAN W LAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6647 GRAND AVE, MASPETH, NEW YORK, NY 11378
(718) 424-0700
(718) 424-9708
Mailing address
6647 GRAND AVE, MASPETH, NEW YORK, NY 11378
(718) 424-0700
(718) 424-9708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
128638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00302130
—
NY
Enumeration date
01/19/2007
Last updated
12/02/2022
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