Provider Demographics
NPI:1821069873
Name:RETSAGI, LASZLO (MD)
Entity Type:Individual
Prefix:
First Name:LASZLO
Middle Name:
Last Name:RETSAGI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 57TH ST
Mailing Address - Street 2:SUITE 1240
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2049
Mailing Address - Country:US
Mailing Address - Phone:212-319-3977
Mailing Address - Fax:212-319-4263
Practice Address - Street 1:115 E 57TH ST
Practice Address - Street 2:SUITE 1240
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2049
Practice Address - Country:US
Practice Address - Phone:212-319-3977
Practice Address - Fax:212-319-4263
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-29
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA62552Medicare UPIN
37D322Medicare ID - Type Unspecified