Individual
DR. LAWRENCE S BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
568 PARK AVE, NEW YORK, NY 10021-7370
(212) 593-2600
(212) 593-2244
Mailing address
568 PARK AVE, NEW YORK, NY 10065-7370
(212) 593-2600
(212) 593-2244
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
170610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01513015
—
NY
Enumeration date
01/12/2007
Last updated
03/18/2008
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