Individual
LAWRENCE IRA CHALIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 E MAIN ST, HUNTINGTON, NY 11743-2987
(631) 271-7133
Mailing address
191 E MAIN ST, HUNTINGTON, NY 11743-2987
(631) 271-7133
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
185464
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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