Individual
LAWRENCE KOBLENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32 PORTICO PL STE 1A, GREAT NECK, NY 11021-2021
(718) 708-7000
(516) 482-2462
Mailing address
32 PORTICO PL STE 1A, GREAT NECK, NY 11021-2021
(718) 708-7000
(516) 482-2462
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
120369
NY
207RI0008X
Hepatology Physician
120369
NY
Other
Enumeration date
07/17/2006
Last updated
11/25/2020
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