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Individual

DR. JEFFREY NATHANIEL LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
574 ATLANTIC AVE APT 2, BROOKLYN, NY 11217-4911
(914) 980-8825
Mailing address
31 E 127TH ST APT 4D, NEW YORK, NY 10035-1243
(914) 980-8825

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024957
NY

Other

Enumeration date
06/02/2022
Last updated
06/02/2022
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