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Organization
LAWRENCE AVENUE MEDICAL PC
Active
Organization
LAWRENCE AVENUE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MAUCERI MD (OWNER)
(631) 265-1727
Entity
Organization
Contact information
Practice address
32 LAWRENCE AVE, SMITHTOWN, NY 11787
(631) 265-1727
(631) 265-9014
Mailing address
2314 BELLMORE AVE, BELLMORE, NY 11710
(516) 781-8100
(516) 781-8133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
172739
NY
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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