Provider Demographics
NPI:1992007488
Name:ELISABETH LACHMANN MD PC
Entity Type:Organization
Organization Name:ELISABETH LACHMANN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LACHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-535-3005
Mailing Address - Street 1:117 1/2 E 62ND ST
Mailing Address - Street 2:1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7301
Mailing Address - Country:US
Mailing Address - Phone:212-535-3005
Mailing Address - Fax:212-288-7796
Practice Address - Street 1:117 1/2 E 62ND ST
Practice Address - Street 2:1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7301
Practice Address - Country:US
Practice Address - Phone:212-535-3005
Practice Address - Fax:212-288-7796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-03
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176744208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty