Individual
DR. LAWRENCE F KOBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
781 W PARK AVE, LONG BEACH, NY 11561-2880
(516) 410-2835
Mailing address
781 W PARK AVE, LONG BEACH, NY 11561-2880
(516) 410-2835
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N2667
NY
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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