Individual
MITCHELL P LAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MMC - DEPT. OF RADIOLOGY, 111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-4861
Mailing address
13605 71ST RD, FLUSHING, NY 11367-1942
(718) 920-4861
(718) 324-1156
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
173213
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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