Organization
LAURENCE C. CHAMPAGNE DPM, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE CLOUTIER-CHAMPAGNE D.P.M (PODIATRIST)
(347) 585-6077
Entity
Organization
Contact information
Practice address
885 PARK AVE, NEW YORK, NY 10075-0325
(212) 535-0229
Mailing address
300 E 51ST ST APT 18D, NEW YORK, NY 10022-7817
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006470-1
NY
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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