Individual
MR. MICHAEL LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC 18008
Contact information
Practice address
1600 MACOMBS RD, BRONX, NY 10452-2016
(718) 299-3300
Mailing address
1086 HOME ST, APT 2M, BRONX, NY 10459-2618
(347) 341-2793
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18008
NY
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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