Organization
DR LAWRENCE FEDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE FEDER DDS (OWNER)
(212) 673-3698
Entity
Organization
Contact information
Practice address
55 AVENUE C, NEW YORK, NY 10009-6855
(212) 673-3698
Mailing address
710 QUEEN ANNE RD, TEANECK, NJ 07666-3316
(212) 673-3698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00292379
—
NY
Enumeration date
12/19/2013
Last updated
12/19/2013
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