Individual
LAURENCE IRWIN SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1610
(585) 292-5830
(585) 429-2584
Mailing address
103 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1610
(585) 292-5830
(585) 292-5847
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
159792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101076DL
PREFERRED CARE # PEDS
NY
01
—
159792-1W
WORKERS COMP #
NY
01
—
MDJ303
PREFERRED CARE # FOR BH
NY
01
—
P010159792
BLUE CHOICE #
NY
Enumeration date
06/17/2006
Last updated
10/15/2008
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