Individual
DR. LAWRENCE BRUCE PALEVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 FORT SALONGA RD, SUITE 101, NORTHPORT, NY 11768-3900
(631) 262-8505
Mailing address
220 FORT SALONGA RD, SUITE 101, NORTHPORT, NY 11768-3900
(631) 262-8505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
175330
NY
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
175330
NY
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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