DR. LEAH M LAGOS


Address: 635 Madison Ave, Third Floor, New York, NY 10022-1009
Phone: 6467701702

DR. LEAH M LAGOS (NPI# 1699050427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699050427
Entity Type Individual
Full Name DR. LEAH M LAGOS
Credential PSY.D, B.C.B
Practice Address 635 Madison Ave
Third Floor
New York
NY 10022-1009
Mailing Address 610 W 42nd St
Apartment 48g
New York
NY 10036-1956
Practice Telephone 6467701702
Mailing Telephone 6467701702
Enumeration Date 2011-10-12
Last Update Date 2011-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
019086 NY Behavioral Health & Social Service Providers

Office Location

Street Address 635 MADISON AVE
THIRD FLOOR
City NEW YORK
State NY
Zip Code 10022-1009

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NPI Name Taxonomy Address Enumeration
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1124686548 Necati Enver Student in an Organized Health Care Education/Training Program 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 2019-05-31
1134688062 Queenie K Yeung Occupational Therapist 1110 Second Avenue, Suite 302, New York, NY 10022 2019-03-19
1437616968 Rebekah Wotman Nurse Practitioner 121 E 60th Street, Suite 4c, New York, NY 10022 2019-02-20
1972086684 Steven Kyongmin Kim Dentist 209 E 56th St Frnt 1, New York, NY 10022 2018-09-09
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10022

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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