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Individual

EUSTACE LAURISTON LASHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1847 BEDFORD AVE, BROOKLYN, NY 11225-5005
(718) 282-0100
(718) 693-8317
Mailing address
PO BOX 250142, BROOKLYN, NY 11225-0142
(718) 282-0100
(718) 693-8317

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
140842
NY
207R00000X
Internal Medicine Physician
Primary
140842
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01091565
NY
Enumeration date
10/02/2006
Last updated
01/28/2021
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