| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 06/03/2009 |
| Medicare PECOS PAC ID | 0143378950 |
|---|---|
| Medicare Enrollment ID | O20090513000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124028907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 084977 (New York) | Primary |
| Provider Name | Mitchell Kurk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992994701 PECOS PAC ID: 7517015324 Enrollment ID: I20090505000536 |
Yitzhak D. Twersky M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Central Ave, Suite 204, Lawrence, NY 11559 Phone: 516-476-7710 Fax: 516-239-6866 | |
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