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Organization

LRS MEDICAL ASSOCIATES, P.C.

Active
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Organization

LRS MEDICAL ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAVI SHANKER M.D. (OWNER)
(718) 748-7831
Entity
Organization

Contact information

Practice address
560 BAY RIDGE PKWY, BROOKLYN, NY 11209-3310
(718) 748-7831
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02425529
NY
Enumeration date
06/04/2006
Last updated
10/05/2010
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