| NPI Details | |
|---|---|
| NPI | 1053496620 |
| Gender | Male |
| Enumeration Date | 10/25/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| BETH ISRAEL MEDICAL CENTER/PETRIE DIVISON 1ST AVENUE AT 16TH ST. NEW YORK NY, 10003, US |
|
| Phone | (212) 420-2385 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 270 MASSAPEQUA PARK NY, 11762-0270, US |
|
| Phone | (631) 264-2035 |
| Fax | (631) 264-1418 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207L00000X |
| License State | New York |
| License Number | 209992 |
| Remove 1053496620 NPI Number | |
According to our database, Ajay Lall M.D. NPI is 1053496620, taxonomy code is 207L00000X and license number is 209992, license state is located at New York. Ajay Lall M.D. physically located at Beth Israel Medical Center/petrie Divison, New York NY, 10003. NPI Number Ajay Lall M.D. has the Individual type.
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1053496620 NPI number is provided on an as is basis without warranty of any kind. 1053496620 is maintained by the National Plan & Provider Enumeration System. The contents of Ajay Lall M.D. are for informational purposes only.
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