Provider Demographics
NPI:1811634447
Name:MICHAEL LAPIDUS, MD PC
Entity type:Organization
Organization Name:MICHAEL LAPIDUS, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ILENE
Authorized Official - Middle Name:
Authorized Official - Last Name:KASWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-849-1958
Mailing Address - Street 1:725 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1703
Mailing Address - Country:US
Mailing Address - Phone:718-434-8280
Mailing Address - Fax:888-972-5017
Practice Address - Street 1:725 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1703
Practice Address - Country:US
Practice Address - Phone:718-434-8280
Practice Address - Fax:888-972-5017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty