Provider Demographics
NPI:1912988320
Name:LAMBRAKIS, CHRISTOS C (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOS
Middle Name:C
Last Name:LAMBRAKIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:690 NORTH BROADWAY
Mailing Address - Street 2:SUITE GL1
Mailing Address - City:NORTH WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603
Mailing Address - Country:US
Mailing Address - Phone:914-428-3651
Mailing Address - Fax:914-428-2948
Practice Address - Street 1:690 NORTH BROADWAY
Practice Address - Street 2:SUITE GL1
Practice Address - City:NORTH WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603
Practice Address - Country:US
Practice Address - Phone:914-428-3651
Practice Address - Fax:914-428-2948
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2073522084N0400X, 2084N0600X
NJ0673762084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01786754Medicaid
NJ7832907Medicaid
NY01786754Medicaid
NJ021665Medicare ID - Type Unspecified
G60758Medicare UPIN