| Lst Medical Pc | |
|
2542 Boston Rd Suite C & D Bronx NY 10467-9004 | |
| (718) 324-2700 | |
| Not Available |
| Full Name | Lst Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2542 Boston Rd, Bronx, New York |
| Authorized Official Name and Position | Lev Tayts (OWNER) |
| Authorized Official Contact | 7183242700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lst Medical Pc 2542 Boston Rd Suite C & D Bronx NY 10467-9004 Ph: () - | Lst Medical Pc 2542 Boston Rd Suite C & D Bronx NY 10467-9004 Ph: (718) 324-2700 |
| NPI Number | 1336269778 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336269778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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