Individual
ANNA M LASAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMC - REHABILITATION MEDICINE, 1500 BLONDELL AVENUE, BRONX, NY 10461
(718) 405-8410
Mailing address
4219 192ND ST, FLUSHING, NY 11358-2939
(718) 405-8410
(718) 405-8411
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
221523
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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