Individual
LAWRENCE CHAYANNE ALMANZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 NICOLLS RD # HSC15-040, STONY BROOK, NY 11794-8174
(631) 638-0628
(631) 865-4052
Mailing address
101 NICOLLS RD # HSC15040, STONY BROOK, NY 11794-8174
(631) 638-0628
(631) 865-4052
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
024037
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/03/2019
Last updated
07/15/2022
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