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Individual

DR. BERNARD LAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 TECHNOLOGY DR, SUITE 250, EAST SETAUKET, NY 11733-4080
(631) 444-4601
(631) 444-4990
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
213354
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01971613
NY
Enumeration date
07/11/2005
Last updated
05/12/2015
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