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Fatai Lasisi
NPI 1174979850 · on the registry since 2016 · sole proprietor
Practice
- Address
- 13801 Springfield Blvd
Springfield Gardens, NY 11413 - Phone
- (718) 723-7269
- Fax
- (718) 723-7262
- Organisation at this address
- City Link Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York