Individual
DR. LAWRENCE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1578 WILLIAMSBRIDGE RD, SUITE 2D, BRONX, NY 10461-6265
(718) 863-8465
(718) 863-8983
Mailing address
1578 WILLIAMSBRIDGE RD, SUITE 2D, BRONX, NY 10461-6265
(718) 863-8465
(718) 863-8983
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
118150
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00248935
—
NY
01
—
A400016990
INDIVIDUAL PTAN
NY
Enumeration date
04/13/2006
Last updated
06/08/2015
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