Individual
MS. LAURA F VAN DE LAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
34 NORTH PLANK ROAD, SUITE R-2, NEWBURGH, NY 12550
(845) 562-0168
(845) 562-0169
Mailing address
34 N PLANK RD, SUITE R-2, NEWBURGH, NY 12550-2116
(845) 562-0168
(845) 562-0169
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00542503
—
NY
Enumeration date
04/29/2009
Last updated
02/19/2019
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