Individual
LAURENCE MAYNARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1656 CHAMPLIN AVE, NEW HARTFORD, NY 13413-1068
(315) 624-6222
(315) 624-6308
Mailing address
PO BOX 2004, EAST SYRACUSE, NY 13057-4504
(315) 446-3904
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
175704
NY
207Q00000X
Family Medicine Physician
Primary
175704
NY
Other
Enumeration date
05/11/2006
Last updated
09/11/2025
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