Provider Demographics
NPI:1912260720
Name:LAMSIFER, RACHID (MED)
Entity Type:Individual
Prefix:
First Name:RACHID
Middle Name:
Last Name:LAMSIFER
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 WILSON RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3327
Mailing Address - Country:US
Mailing Address - Phone:516-569-3430
Mailing Address - Fax:
Practice Address - Street 1:43 WILSON RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3327
Practice Address - Country:US
Practice Address - Phone:516-569-3430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205977021174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist