Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FATAI LASISI
Active Sole ProprietorFATAI LASISI is a Bus healthcare provider located in SPRINGFIELD GARDENS, New York. NPI 1174979850 is currently active in the NPPES registry. Verify at CMS.
Bus · SPRINGFIELD GARDENS, NY
Registration Details
- NPI Number
- 1174979850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2016 (10.30096978937 yrs)
- Last Updated
- May 11, 2016
- License
-
668842755 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13801 SPRINGFIELD BLVDSPRINGFIELD GARDENS, NY, 114132632Browse NY providers · Browse ZIP 11413
- Phone
- 7187237269
- Fax
- 7187237262
- Primary Specialty
-
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.