Provider Demographics
NPI:1366753824
Name:LASCARI, ANDRE DION (MD)
Entity type:Individual
Prefix:
First Name:ANDRE
Middle Name:DION
Last Name:LASCARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 NY 351
Mailing Address - Street 2:
Mailing Address - City:POESTENKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12140
Mailing Address - Country:US
Mailing Address - Phone:518-712-5135
Mailing Address - Fax:
Practice Address - Street 1:528 NY 351
Practice Address - Street 2:
Practice Address - City:POESTENKILL
Practice Address - State:NY
Practice Address - Zip Code:12140
Practice Address - Country:US
Practice Address - Phone:518-712-5135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086049-12080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology