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NPI Code Detail

MEDICARE: SCOTT LAWRENCE MD PLLC

MEDICARE: SCOTT LAWRENCE MD PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician153194-1NY

General Provider Information

NPI Number : 1073885471
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT LAWRENCE MD PLLC
Provider Business Mailing Address
First Line : 216 CONGERS RD
Second Line : SUITE 2E
City : NEW CITY
State : NY
Zip : 10956-6261
Country : US
Telephone Number : 845-639-9611
Fax Number :
Provider Business Practice Location Address
First Line : 216 CONGERS RD
Second Line : SUITE 2E
City : NEW CITY
State : NY
Zip : 10956-6261
Country : US
Telephone Number : 845-639-9611
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : SCOTT LAWRENCE
Credential : M.D.
Telephone Number : 845-639-9611
Provider Enumeration Date : 01/31/2012
Last Update Date : 01/31/2012

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Directions to “SCOTT LAWRENCE MD PLLC ” Practice Location

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