Lashley, Marc

Lashley, Marc is an individual health care provider with primary practice located at 167 E Merrick Rd , Valley Stream NY 11580-5925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lashley, Marc can be contacted via phone (516) 825-3030.

Contact Information

Primary practice address
167 E Merrick Rd Valley Stream NY 11580-5925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 174891 New York

Profile Details

NPI number 1922040070
LBN Legal business name Lashley, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922040070 NPPES
New York MEDICAID 01627196

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