Provider Demographics
NPI:1447242649
Name:LASCARIDES, CHRIS E (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:E
Last Name:LASCARIDES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 GREAT NECK RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4308
Mailing Address - Country:US
Mailing Address - Phone:516-482-6747
Mailing Address - Fax:516-482-4851
Practice Address - Street 1:889 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2681
Practice Address - Country:US
Practice Address - Phone:631-386-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211513207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H82066Medicare UPIN
3V7991Medicare ID - Type Unspecified