Provider Demographics
NPI:1417745084
Name:LASKER, CHAYA N/A
Entity type:Individual
Prefix:
First Name:CHAYA
Middle Name:N/A
Last Name:LASKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4801
Mailing Address - Country:US
Mailing Address - Phone:917-974-9536
Mailing Address - Fax:
Practice Address - Street 1:1231 E 12TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4801
Practice Address - Country:US
Practice Address - Phone:917-974-9536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist