Individual
LAURENCE SEEGAR ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3000
Mailing address
2 BAER CT, HAUPPAUGE, NY 11788-3044
(631) 361-9354
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005356-1
NY
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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