L&L Psychiatric Service PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

251114 Issued in NY

Legal business name

L&L PSYCHIATRIC SERVICE PC

Practice address

111 7TH St
Suite 111
Garden City, NY 11530-5731

Phone

(718) 683-1709

Fax

(516) 472-7235

NPI assigned

Aug 6, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Li Lan, M.D.

Title

Director

Phone

(718) 683-1709

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1598012833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 7TH ST",
            "address_2": "SUITE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305731",
            "telephone_number": "718-683-1709",
            "fax_number": "516-472-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 7TH ST",
            "address_2": "SUITE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305731",
            "telephone_number": "718-683-1709",
            "fax_number": "516-472-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&L PSYCHIATRIC SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "LAN",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-683-1709",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "251114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Krochak, M.D.
• Bonnie Rachel Kupchik, M.A.
• Jaime Marie Kurnicki, MS.ED.
• Stacy Kurtz, PSY.D.
• Lauren Marie Kutkowski
• Vincent Labruna
• Pamela Lachs, PA-C
• Natalie Rose Lagares, NP
• Elaine Lai, PA
• Lake Success Medical Pet Scan

• Mental Health Clinic/Center (Including Community Mental Health Center) in Garden City, NY
• Providers in Garden City, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.