Organization
WILLIAM J LACKEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH GOFAYZEN (BILLING MANAGER)
(845) 450-0214
Entity
Organization
Contact information
Practice address
153 W 27TH ST STE 1101, NEW YORK, NY 10001-6251
(917) 275-2241
Mailing address
153 W 27TH ST STE 11011000, NEW YORK, NY 10001-6203
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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