Provider Demographics
NPI:1629236310
Name:MCLACHLAN, DOUGLAS IAN (MD/MPH)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:IAN
Last Name:MCLACHLAN
Suffix:
Gender:M
Credentials:MD/MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 E 70TH ST
Mailing Address - Street 2:APARTMENT 16H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5342
Mailing Address - Country:US
Mailing Address - Phone:718-350-1137
Mailing Address - Fax:
Practice Address - Street 1:435 E 70TH ST
Practice Address - Street 2:APARTMENT 16H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5342
Practice Address - Country:US
Practice Address - Phone:718-350-1137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234206207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM2302118Medicare PIN