Lawrence Family Medical Practice, P.c. | |
310 Broadway Lawrence NY 11559-1510 | |
(516) 239-5540 | |
(516) 239-1363 |
Full Name | Lawrence Family Medical Practice, P.c. |
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Speciality | Family Medicine |
Location | 310 Broadway, Lawrence, New York |
Authorized Official Name and Position | Mitchell Kurk (DOCTOR) |
Authorized Official Contact | 5162395540 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lawrence Family Medical Practice, P.c. 310 Broadway Lawrence NY 11559-1510 Ph: (516) 239-5540 | Lawrence Family Medical Practice, P.c. 310 Broadway Lawrence NY 11559-1510 Ph: (516) 239-5540 |
NPI Number | 1124028907 |
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Provider Enumeration Date | 07/22/2005 |
Last Update Date | 06/03/2009 |
Medicare PECOS PAC ID | 0143378950 |
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Medicare Enrollment ID | O20090513000025 |
Identifier | Type | State | Issuer |
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1124028907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 084977 (New York) | Primary |
Provider Name | Mitchell Kurk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992994701 PECOS PAC ID: 7517015324 Enrollment ID: I20090505000536 |
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