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Individual

DR. ANDREW L LAUTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
37 FRONT ST, 2ND FLOOR, GREENPORT, NY 11944-1639
(631) 477-6696
(631) 477-6695
Mailing address
1148 5TH AVE, 10A, NEW YORK, NY 10128-0807
(212) 348-6983

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
128397
NY

Other

Enumeration date
07/10/2008
Last updated
10/18/2011
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