Individual
LAWRENCE BRUCE SCHWAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 EAST 61ST ST., SUITE 6D, NEW YORK, NY 10065
(212) 583-7605
(212) 583-0286
Mailing address
P.O. BOX 20196, NEW YORK, NY 10021
(212) 879-9109
(212) 583-0286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
030900
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250992
—
NY
Enumeration date
04/02/2009
Last updated
04/02/2009
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