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Individual

DR. PETER LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44 1ST AVE, OSSINING, NY 10562-2622
(914) 923-2323
Mailing address
44 1ST AVE, OSSINING, NY 10562-2622

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA07956800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0091481
MEDICAID PIN
NJ
Enumeration date
01/09/2006
Last updated
05/15/2008
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