| Dr David Laks, MD | |
|
13876 Queens Blvd, 1st Floor, Briarwood, NY 11435-2930 | |
| (718) 850-6345 | |
| (718) 559-4895 |
| Full Name | Dr David Laks |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 13876 Queens Blvd, Briarwood, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093923559 | NPI | - | NPPES |
| 02349099 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 203546 (New York) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | 203546 (New York) | Secondary |
| Entity Name | Wound Physician Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063765923 PECOS PAC ID: 2567617889 Enrollment ID: O20130312000331 |
| Entity Name | Project Hospitality Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598882284 PECOS PAC ID: 3577884097 Enrollment ID: O20150609000529 |
| Entity Name | Care Counseling Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588066716 PECOS PAC ID: 3971897398 Enrollment ID: O20160809000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Laks, MD 214 W 116th St, 1st Floor, New York, NY 10026-2494 Ph: (646) 432-4600 | Dr David Laks, MD 13876 Queens Blvd, 1st Floor, Briarwood, NY 11435-2930 Ph: (718) 850-6345 |
Dr. Virgil Thomas Sanderson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8515 Main St, Briarwood, NY 11435 Phone: 718-523-7186 Fax: 718-523-7186 | |
Dr. Samuel E Ottong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8515 Main St, Briarwood, NY 11435 Phone: 718-523-7186 Fax: 718-206-1370 |