Provider Demographics
NPI:1336268382
Name:LASKOWSKI, IGOR A (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:IGOR
Middle Name:A
Last Name:LASKOWSKI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WOODS RD FL 1
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-909-6900
Mailing Address - Fax:914-493-2828
Practice Address - Street 1:100 WOODS RD FL 1
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-909-6900
Practice Address - Fax:914-493-2828
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2339992086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100000178OtherMEDICARE GROUP PTAN
NYP00421092OtherRAIL ROAD MEDICARE
NY1N45433641OtherPTAN
NY1N4543K223OtherPTAN
NY1336268382OtherNPI
NY1N4543K221OtherPTAN
NY02897010Medicaid
NYA400035484OtherMEDICARE INDIVIDUAL PTAN
NY1N4543K222OtherPTAN