| Doctor Name: | DR. DAVID LAKS |
| NPI Number: | 1093923559 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 203546 |
| Business Practice Address: | 13876 Queens Blvd 1st Floor Briarwood, NY - 114352930 |
| Business Phone Number: | 7188506345 |
| Business Fax Number: | 7185594895 |
| Mailing Address: | 214 W 116th St, 1st Floor NEW YORK |
| State: | NY |
| Postal Code: | 100262494 |
| Phone Number: | 6464324600 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | 203546 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |