Individual
DR. JEREMY ETHAN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3666
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3666
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
271986
NY
Other
Enumeration date
09/24/2010
Last updated
12/16/2013
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