Individual
ASA LAUREN CHEESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 PARK AVE FL 8, NEW YORK, NY 10016-5802
(212) 263-7419
Mailing address
216 W 111TH ST, APT 5C, NEW YORK, NY 10026-4131
(203) 343-5405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
304749
NY
2084P0800X
Psychiatry Physician
Primary
87867
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2016
Last updated
08/05/2021
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