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Individual

DR. LAWRENCE GLEN BASSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
58 SUNNY HILL DR, EAST NORWICH, NY 11732-1135
(516) 652-3724
Mailing address
58 SUNNY HILL DR, EAST NORWICH, NY 11732-1135
(516) 652-3724

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
142444 1
NY

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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