| Lawrence F. Neshiwat M.d.p.c. | |
| 
					944 N Broadway Ste 205 Yonkers NY 10701-1317  | |
| (914) 237-1941 | |
| (914) 237-1950 | 
| Full Name | Lawrence F. Neshiwat M.d.p.c. | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 944 N Broadway Ste 205, Yonkers, New York | 
| Authorized Official Name and Position | Lawrence F Neshiwat (CEO) | 
| Authorized Official Contact | 9142371941 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lawrence F. Neshiwat M.d.p.c. 1019 Yonkers Ave Yonkers NY 10704-3070 Ph: (914) 237-1941  | Lawrence F. Neshiwat M.d.p.c. 944 N Broadway Ste 205 Yonkers NY 10701-1317 Ph: (914) 237-1941  | 
| NPI Number | 1780986984 | 
|---|---|
| Provider Enumeration Date | 11/22/2010 | 
| Last Update Date | 11/22/2010 | 
| Medicare PECOS PAC ID | 4688862568 | 
|---|---|
| Medicare Enrollment ID | O20101220000036 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780986984 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary | 
| Provider Name | Lawrence Fayez Neshiwat | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1003832437 PECOS PAC ID: 9638243538 Enrollment ID: I20101220000091  | 
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