Organization
ORLI HEALTH PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACHAN BAND NP (NURSE PRACTITIONER)
(929) 376-3003
Entity
Organization
Contact information
Practice address
345 7TH AVE STE 1601J, NEW YORK, NY 10001-5006
(312) 912-4280
Mailing address
345 7TH AVE STE 1601J, NEW YORK, NY 10001-5006
(929) 376-3003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
174H00000X
Health Educator
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/10/2025
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