| Lawrence L. Northorn Do Pc | |
|
126 E Main St Suite 1 East Islip NY 11730-2600 | |
| (631) 581-0090 | |
| (631) 581-2879 |
| Full Name | Lawrence L. Northorn Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 126 E Main St, East Islip, New York |
| Authorized Official Name and Position | Lawrence L Northorn (DO) |
| Authorized Official Contact | 6315810090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence L. Northorn Do Pc 126 E Main St Suite 1 East Islip NY 11730-2600 Ph: (631) 581-0090 | Lawrence L. Northorn Do Pc 126 E Main St Suite 1 East Islip NY 11730-2600 Ph: (631) 581-0090 |
| NPI Number | 1255570164 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 05/07/2009 |
| Medicare PECOS PAC ID | 2163589029 |
|---|---|
| Medicare Enrollment ID | O20090319000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255570164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 233269 (New York) | Primary |
| Provider Name | Lawrence L Northorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992763585 PECOS PAC ID: 9638266752 Enrollment ID: I20071106000226 |
Long Island Family Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Laurel Ave, East Islip, NY 11730 Phone: 631-224-4442 Fax: 631-224-4446 | |
South Shore Family Practice Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 369 E Main St, Suite 3, East Islip, NY 11730 Phone: 631-581-4500 Fax: 631-581-5905 | |
James W Ferguson Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 W Main St, East Islip, NY 11730 Phone: 631-581-2049 Fax: 631-581-3354 | |
Solaiman Chowdhury Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 E Main St Ste 1, East Islip, NY 11730 Phone: 631-581-0090 Fax: 631-581-2879 | |
Vikas Desai Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 E Main St, East Islip, NY 11730 Phone: 631-581-0737 Fax: 631-581-0729 | |
Richard Zito, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Bayview Ave, East Islip, NY 11730 Phone: 631-859-1418 Fax: 631-277-0899 |