1356444780 NPI number — DR. LARA KRISTINA PRIMAK M.D.

Table of content: DR. LARA KRISTINA PRIMAK M.D. (NPI 1356444780)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356444780 NPI number — DR. LARA KRISTINA PRIMAK M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRIMAK
Provider First Name:
LARA
Provider Middle Name:
KRISTINA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356444780
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11050 MT. BELVEDERE BLVD.
Provider Second Line Business Mailing Address:
USA MEDDAC ATTN: CREDENTIALS
Provider Business Mailing Address City Name:
FORT DRUM
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13602-5004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-772-4025
Provider Business Mailing Address Fax Number:
315-772-9498

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11050 MT. BELVEDERE BLVD.
Provider Second Line Business Practice Location Address:
USA MEDDAC/CREDENTIALS
Provider Business Practice Location Address City Name:
FORT DRUM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13602-5004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-772-4025
Provider Business Practice Location Address Fax Number:
315-772-9498
Provider Enumeration Date:
09/07/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  MD063446L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)