Organization
LAWRENCE FAMILY MEDICAL PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL KURK MD (DOCTOR)
(516) 239-5540
Entity
Organization
Contact information
Practice address
310 BROADWAY, LAWRENCE, NY 11559-1510
(516) 239-5540
(516) 239-1363
Mailing address
310 BROADWAY, LAWRENCE, NY 11559-1510
(516) 239-5540
(516) 239-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
084977
NY
Other
Enumeration date
07/22/2005
Last updated
06/03/2009
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