MEDICARE: LAWRENCE CARDIOVASCULAR ASSOCIATES PC

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
1	207RC0000X	Cardiovascular Disease Physician	135196	NY
2	207RC0000X	Cardiovascular Disease Physician	171383	NY

General Provider Information

NPI Number	:	1225195001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE CARDIOVASCULAR ASSOCIATES PC

Provider Business Mailing Address
First Line	:	135 ROCKAWAY TPKE STE 103
Second Line	:
City	:	LAWRENCE
State	:	NY
Zip	:	11559-1023
Country	:	US
Telephone Number	:	516-239-1616
Fax Number	:	516-239-2566

Provider Business Practice Location Address
First Line	:	135 ROCKAWAY TPKE STE 103
Second Line	:
City	:	LAWRENCE
State	:	NY
Zip	:	11559-1023
Country	:	US
Telephone Number	:	516-239-1616
Fax Number	:	516-239-1616

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAUL MENDOZA
Credential	:	M.D.
Telephone Number	:	516-239-1616

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/21/2022

Similar Medicare Providers

1457357667 — DR. RAUL MENDOZA M.D.
Practice Location Address:

135 ROCKAWAY TPKE , STE 103
LAWRENCE, NY
11559-1023

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Practice Fax: 516-239-2566

1619973948 — DR. NARENDRA K HADPAWAT M.D.
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1356347694 — DR. MICHAEL D TEIGMAN M.D.
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135 ROCKAWAY TPKE , STE 103
LAWRENCE, NY
11559-1023

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Practice Fax: 516-239-2566

1972504587 — MARCEL SCHEINMAN M.D.
Practice Location Address:

135 ROCKAWAY TPKE , SUITE 108
LAWRENCE, NY
11559-1023

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Practice Fax:

1285644344 — DR. DEBRA L BREITMAN DPM
Practice Location Address:

135 ROCKAWAY TPKE STE 107
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1952445389 — DR. HAROLD S. HEFTER M.D.
Practice Location Address:

135 ROCKAWAY TPKE , SUITE 100
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