Organization
MESDAME OB/GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURE M LAURISTON (PHYSICIAN)
(914) 423-0025
Entity
Organization
Contact information
Practice address
45 LUDLOW ST, SUITE 506, YONKERS, NY 10705-1947
(914) 423-0025
(914) 423-0334
Mailing address
45 LUDLOW ST, SUITE 506, YONKERS, NY 10705-1947
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
242494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02889930
—
NY
Enumeration date
12/31/2007
Last updated
07/17/2012
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