Individual
DR. JAY IAN LAKKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 E 70TH ST, NEW YORK, NY 10021-4872
(212) 746-7647
Mailing address
250 E 53RD ST APT 2402, NEW YORK, NY 10022-5247
(212) 746-7647
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD12546
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06649187
—
NY
05
—
54015501
—
HI
Enumeration date
11/21/2006
Last updated
03/15/2024
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