Provider Demographics
NPI:1093039463
Name:LASKIN, BOH
Entity Type:Individual
Prefix:
First Name:BOH
Middle Name:
Last Name:LASKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BOH
Other - Middle Name:HYANG
Other - Last Name:LASKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1675 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-348-7400
Mailing Address - Fax:
Practice Address - Street 1:1675 3RD AVE
Practice Address - Street 2:DUANE READE #327
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-348-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist