Individual
DR. CHARLES W. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 558-1733
(718) 558-1702
Mailing address
805 CHESTNUT ST, BRONX, NY 10467-6503
(212) 563-2497
(212) 563-0605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
213978
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02008666
—
NY
Enumeration date
11/01/2006
Last updated
07/09/2007
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