Individual
DR. REBECCA ANN LAWNICZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 E MAIN ST, MOUNT KISCO, NY 10549-3417
(914) 666-1254
Mailing address
420 E 23RD ST APT 4G, NEW YORK, NY 10010-5038
(608) 213-0760
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
265187-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
240148
MA
Other
Enumeration date
06/09/2009
Last updated
11/19/2012
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