Dr ROY S LACKEY is a male medical professional, specializing in Internal Medicine. He graduated in 1993.
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
601 W 113TH ST
SUITE 1
NEW YORK
NY
100259700
Tel: 2123164399
| Npi | 1578571469 |
| Pac Id | 6406043207 |
| Professional Enrollment Id | I20101206000969 |
| Last Name | LACKEY |
| First Name | ROY |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK |
| Group Practice Pac Id | 6002715794 |
| Number Of Group Practice Members | 436 |
| Line 1 Street Address | 601 W 113TH ST |
| Line 2 Street Address | SUITE 1 |
| Marker Of Address Line 2 Suppression | |
| City | NEW YORK |
| State | NY |
| Zip Code | 100259700 |
| Phone Number | 2123164399 |
| Hospital Affiliation Ccn 1 | 330101 |
| Hospital Affiliation Lbn 1 | NEW YORK-PRESBYTERIAN HOSPITAL |
| Hospital Affiliation Ccn 2 | 330046 |
| Hospital Affiliation Lbn 2 | MOUNT SINAI ST LUKE'S ROOSEVELT HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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