Basic Information
| Provider Information | |||||||||
| NPI: | 1255484192 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LASKY | ||||||||
| FirstName: | JANIS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW-R | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11045 71ST RD | ||||||||
| Address2: | APT. 2S | ||||||||
| City: | FOREST HILLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113754960 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187934293 | ||||||||
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| Practice Location | |||||||||
| Address1: | LINCOLN MEDICAL & MENTAL HEALTH CENTER | ||||||||
| Address2: | 234 E. 149TH ST. | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795657 | ||||||||
| FaxNumber: | 7185795310 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | R016826 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.