Provider Demographics
NPI:1598841371
Name:LAAKSO, ULLA KRISTIINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ULLA
Middle Name:KRISTIINA
Last Name:LAAKSO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0255
Mailing Address - Country:US
Mailing Address - Phone:212-517-3900
Mailing Address - Fax:212-452-1336
Practice Address - Street 1:910 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0255
Practice Address - Country:US
Practice Address - Phone:212-517-3900
Practice Address - Fax:212-452-1336
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1749202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY26E981Medicare ID - Type Unspecified
NYE48992Medicare UPIN