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NPI Code Detail

MEDICARE: LAWRENCE P KISS M.D.

MEDICARE: LAWRENCE P KISS 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
1207ZP0101XAnatomic Pathology Physician230106NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2A400011869OTHERNYNGS

General Provider Information

NPI Number : 1871547448
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE P KISS M.D.
Provider Business Mailing Address
First Line : 1900 HEMPSTEAD TPKE
Second Line : SUITE 500
City : EAST MEADOW
State : NY
Zip : 11554-1724
Country : US
Telephone Number : 516-542-1090
Fax Number : 770-666-9097
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 718-780-3665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 06/16/2026

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Directions to “ LAWRENCE P KISS M.D.” Practice Location

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