| Jacquelyn S. Lahoud, M.D. P.C. | |
|
7515 13th Ave Brooklyn NY 11228-2409 | |
| (917) 414-4505 | |
| Not Available |
| Full Name | Jacquelyn S. Lahoud, M.D. P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7515 13th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Jacquelyn S Lahoud (PRESIDENT) |
| Authorized Official Contact | 9174144505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn S. Lahoud, M.D. P.C. 9917 Shore Rd Apt 4c Brooklyn NY 11209-7925 Ph: (917) 414-4505 | Jacquelyn S. Lahoud, M.D. P.C. 7515 13th Ave Brooklyn NY 11228-2409 Ph: (917) 414-4505 |
| NPI Number | 1114382090 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 12/21/2015 |
| Medicare PECOS PAC ID | 6507168044 |
|---|---|
| Medicare Enrollment ID | O20151230001289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114382090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 272160 (New York) | Primary |
| Provider Name | Jacquelyn S Lahoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801114624 PECOS PAC ID: 3779803085 Enrollment ID: I20150909000108 |
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