Individual
LAWRENCE JAMES BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADULT N.P.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7545
Mailing address
14554 8TH AVE, WHITESTONE, NY 11357-1657
(718) 767-0951
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301975
NY
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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