Provider Demographics
NPI:1164786422
Name:LASKER, ADEENA (MASTER'S SPED)
Entity Type:Individual
Prefix:MRS
First Name:ADEENA
Middle Name:
Last Name:LASKER
Suffix:
Gender:F
Credentials:MASTER'S SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 DOROTHY ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5007
Mailing Address - Country:US
Mailing Address - Phone:718-524-7316
Mailing Address - Fax:718-524-7316
Practice Address - Street 1:47 DOROTHY ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5007
Practice Address - Country:US
Practice Address - Phone:718-524-7316
Practice Address - Fax:718-524-7316
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-01
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist