1528015492 NPI number — LAMM INSTITUTE AT LICH

Table of content: (NPI 1528015492)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528015492 NPI number — LAMM INSTITUTE AT LICH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAMM INSTITUTE AT LICH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1528015492
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
160 WATER ST
Provider Second Line Business Mailing Address:
20FL
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10038-4922
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-256-3682
Provider Business Mailing Address Fax Number:
212-256-3538

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 AMITY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11201-6107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-780-1014
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GOTTLIEB
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGING EMPLOYEE
Authorized Official Telephone Number:
718-780-1014

Provider Taxonomy Codes

  • Taxonomy code: 2080P0006X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com