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Individual

LASHA JAIANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
969 MAIN ST STE D, FISHKILL, NY 12524-1791
(845) 896-7730
(845) 896-7758
Mailing address
969 MAIN ST STE D, FISHKILL, NY 12524-1791
(845) 896-7730
(845) 896-0273

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
251315-1
NY
207R00000X
Internal Medicine Physician
251315
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04325884
NY
Enumeration date
03/30/2007
Last updated
02/11/2026
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