| Juanita O Lao Md Pc | |
|
333 Lafayette Ave Suite Pb Brooklyn NY 11238-1350 | |
| (718) 789-1116 | |
| Not Available |
| Full Name | Juanita O Lao Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 Lafayette Ave, Brooklyn, New York |
| Authorized Official Name and Position | Juanita Ong Lao (DIRECT OWNER) |
| Authorized Official Contact | 7187891116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita O Lao Md Pc 121 De Kalb Ave. Brooklyn NY 11201-5425 Ph: (718) 789-1116 | Juanita O Lao Md Pc 333 Lafayette Ave Suite Pb Brooklyn NY 11238-1350 Ph: (718) 789-1116 |
| NPI Number | 1144511908 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 04/28/2011 |
| Medicare PECOS PAC ID | 3173709540 |
|---|---|
| Medicare Enrollment ID | O20110519000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144511908 | NPI | - | NPPES |
| 00211918 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 115220 (New York) | Primary |
| Provider Name | Juanita O Lao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760568943 PECOS PAC ID: 1951587328 Enrollment ID: I20110519000351 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |