Provider Demographics
NPI:1477705606
Name:LAMBRAKIS, EMMANUEL G (MD/FACS)
Entity Type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:G
Last Name:LAMBRAKIS
Suffix:
Gender:M
Credentials:MD/FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17561 HILLSIDE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5733
Mailing Address - Country:US
Mailing Address - Phone:718-291-4800
Mailing Address - Fax:
Practice Address - Street 1:17561 HILLSIDE AVE FL 4
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5733
Practice Address - Country:US
Practice Address - Phone:718-291-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY132300-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01191GMedicare UPIN