Basic Information
| Provider Information | |||||||||
| NPI: | 1386021061 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOKSHIN | ||||||||
| FirstName: | VLADIMIR | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17415 HORACE HARDING EXPY FL 2 | ||||||||
| Address2: | |||||||||
| City: | FRESH MEADOWS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113651527 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187623111 | ||||||||
| FaxNumber: | 7183536315 | ||||||||
| Practice Location | |||||||||
| Address1: | 17415 HORACE HARDING EXPY FL 2 | ||||||||
| Address2: | |||||||||
| City: | FRESH MEADOWS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113651527 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187623111 | ||||||||
| FaxNumber: | 7183536315 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2015 | ||||||||
| LastUpdateDate: | 11/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 301997 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RE0101X | 301997 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.