Diana E Lake
Hematologist
1275 York Ave
New York
, New York 10021-6007
Diana E Lake
Hematologist
1275 York Ave
New York
, New York 10021-6007
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About
Features
Specialties
- Hematologist
Languages spoken
- English
Location
First Address
- Diana E Lake
- 633 3rd Ave Box 3
- New York, NY
- Zip : 10017-6706
- Phone :
Second Address
- Diana E Lake
- 1275 York Ave
- New York, NY
- Zip : 10021-6007
- Phone : (212) 639-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0000X | Hematologist | 126566 | NY |
National Provider Identifier
| NPI | 1346211380 |
|---|---|
| Provider Name | Diana E Lake |
| First Address | New York, NY 10017-6706 |
| Second Address | New York, NY 10021-6007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2006 |
| Last Update Date | 24/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D96627 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.