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NPI Code Detail

MEDICARE: MR. LAWRENCE MILOSCIA

MEDICARE: MR. LAWRENCE MILOSCIA
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
1183500000XPharmacist036769NY

General Provider Information

NPI Number : 1720151103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LAWRENCE MILOSCIA
Provider Business Mailing Address
First Line : 189 CONNETQUOT RD
Second Line :
City : OAKDALE
State : NY
Zip : 11769-2144
Country : US
Telephone Number : 631-563-0150
Fax Number : 631-665-9123
Provider Business Practice Location Address
First Line : 440 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8501
Country : US
Telephone Number : 631-666-9090
Fax Number : 631-665-9123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 07/08/2007

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Directions to “ MR. LAWRENCE MILOSCIA ” Practice Location

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