DR. Laurence F Mack, MD
NPI #1194747444 in N Massapequa, New York
Provider Information
- NPI Number
- 1194747444
- Entity Type
- Individual
- Name
- DR. Laurence F Mack, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MD
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 627 BROADWAY
- City
- N Massapequa
- State
- New York
- ZIP Code
- 11758-5031
- Phone
- (516) 799-3462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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