Organization
AMERICAN ENDOMETRIOSIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY LAWRENCE (BUSINESS ADMINISTRATOR)
(516) 584-8710
Entity
Organization
Contact information
Practice address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
(516) 584-8710
(516) 584-8711
Mailing address
135 PINELAWN RD STE 115, MELVILLE, NY 11747-3198
(516) 584-8710
(516) 584-8711
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912089277
NPI
NY
Enumeration date
11/30/2020
Last updated
06/10/2025
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