LSR Advanced Medical Care PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LSR ADVANCED MEDICAL CARE PLLC

Practice address

7612 Bay Pkwy
Suite B
Brooklyn, NY 11214-1516

Phone

(718) 368-2200

Fax

(718) 368-0400

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Larisa Repnina

Title

Manager

Phone

(718) 368-2200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700800406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 BAY PKWY",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "718-368-2200",
            "fax_number": "718-368-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 BAY PKWY",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141516",
            "telephone_number": "718-368-2200",
            "fax_number": "718-368-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSR ADVANCED MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REPNINA",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-368-2200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.