MEDICARE: LAWRENCE MEDICAL 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1023257441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE MEDICAL ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	2649 STRANG BLVD STE 304
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2938
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2649 STRANG BLVD STE 304
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2938
Country	:	US
Telephone Number	:	646-745-6369
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & MEDICAL DIRECTOR
Name	:	DR. DEEPA KUMARAIAH
Credential	:	MD
Telephone Number	:	646-745-6369

Provider Enumeration Date	:	02/09/2009
Last Update Date	:	11/12/2025

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