Individual
LAWRENCE JACOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 FAMILY PRACTICE DR, KINGSTON, NY 12401-6449
(845) 338-6400
(845) 339-7288
Mailing address
279 MAIN ST, SUITE 204, NEW PALTZ, NY 12561-1623
(845) 255-3046
(845) 255-0236
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00414902
—
NY
Enumeration date
05/12/2006
Last updated
02/23/2012
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