MEDICARE: SCOTT LAWRENCE MD

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	2084P0800X	Psychiatry Physician	153194	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710961826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT LAWRENCE MD

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	:	845-634-3477

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	:	845-634-3477

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	03/07/2023

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Directions to “ SCOTT LAWRENCE MD” Practice Location

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