Individual
DR. LAUREN ANN KUCHMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030
(516) 562-0100
Mailing address
1001 W MAIN ST, SUITE B, FREEHOLD, NJ 07728-2579
(732) 294-2540
(732) 409-2621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
294657-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2015
Last updated
08/08/2018
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