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NPI Code Detail

MEDICARE: LAWRENCE JAY SOBEL M.D.

MEDICARE:   LAWRENCE JAY SOBEL  M.D.
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 Physician124217NY

General Provider Information

NPI Number : 1871795419
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE JAY SOBEL M.D.
Provider Business Mailing Address
First Line : 1 BARSTOW RD
Second Line : P12
City : GREAT NECK
State : NY
Zip : 11021-3501
Country : US
Telephone Number : 516-482-3615
Fax Number : 516-482-3615
Provider Business Practice Location Address
First Line : 1 BARSTOW RD
Second Line : P12
City : GREAT NECK
State : NY
Zip : 11021-3501
Country : US
Telephone Number : 516-482-3615
Fax Number : 516-482-3615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 07/08/2007

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Directions to “ LAWRENCE JAY SOBEL M.D.” Practice Location

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