Provider Type Icon

LAKE SUCCESS HEALTH MEDICAL WELLNESS PC NPI 1083492128


NPI Information

NPI: 1083492128
Provider Name: LAKE SUCCESS HEALTH MEDICAL WELLNESS PC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
2001 MARCUS AVE STE W95
NEW HYDE PARK, NY
ZIP 11042
Phone: (917) 524-7246
Get Directions

LAKE SUCCESS HEALTH MEDICAL WELLNESS PC is a pain medicine anesthesiology in New Hyde Park, NY. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. LAKE SUCCESS HEALTH MEDICAL WELLNESS PC NPI is 1083492128. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2001 MARCUS AVE STE W95
NEW HYDE PARK, NY
ZIP 11042-052
Phone: (917) 524-7246

The provider's authorized official is Jeffrey Rosen .
The authorized official title is Cfo and has the following contact phone number (914) 860-5578.

The enumeration date for this NPI number is 9/19/2023 and was last updated on 9/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.