Lawrence Family Medical Practice, P.c.

NPI #1124028907 in Lawrence, New York

Provider Information

NPI Number: 1124028907
Entity Type: Organization
Organization Name: Lawrence Family Medical Practice, P.c.
Primary Specialty: Family Medicine
Enumeration Date: Jul 22, 2005
Last Updated: Jun 3, 2009

Practice Location

Address: 310 BROADWAY
City: Lawrence
State: New York
ZIP Code: 11559-1510
Phone: (516) 239-5540

Authorized Official

Name: DR. MITCHELL KURK, MD
Title: DOCTOR
Phone: (516) 239-5540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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