MEDICARE: ASHLEY SINEAD LAWRENCE

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	373H00000X	Day Training/Habilitation Specialist	900B	NY

General Provider Information

NPI Number	:	1477417111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY SINEAD LAWRENCE

Provider Business Mailing Address
First Line	:	709 NEW YORK AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4101
Country	:	US
Telephone Number	:	347-930-7270
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 AVENUE J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-3605
Country	:	US
Telephone Number	:	718-814-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ ASHLEY SINEAD LAWRENCE ” Practice Location

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