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Organization

COMPLETE MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID LAKS MD (DIRECTOR OF PC)
(718) 850-6345
Entity
Organization

Contact information

Practice address
13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4895
Mailing address
13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4895

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
203546
NY
207QA0505X
Adult Medicine Physician
Primary
203546
NY
213E00000X
Podiatrist
N004931
NY

Other

Enumeration date
09/24/2009
Last updated
09/24/2009
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