Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 193979-1 | NY |
NPI | 1902810229 |
---|---|
Provider Name | Victor M Lagmay |
First Address | New York, NY 10016-8032 |
Second Address | Brooklyn, NY 11219-2923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1934138 | (05) | NY |
BL6341729 | DEA (01) | NY |
G90471 | (02) | NY |