Individual
DR. ANDREW L LACCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 E 68TH ST OFC 427, NEW YORK, NY 10065
(646) 227-2417
Mailing address
353 E 68TH ST OFC 427, NEW YORK, NY 10065-5606
(646) 227-2417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q2578
TX
207RH0003X
Hematology & Oncology Physician
Primary
298855
NY
207RX0202X
Medical Oncology Physician
298855
NY
Other
Enumeration date
04/04/2012
Last updated
03/18/2025
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