Enisman, Lawrence Jacob

Enisman, Lawrence Jacob is an individual health care provider with primary practice located at 207 Washington Street Suite 203, Poughkeepsie NY 12601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Enisman, Lawrence Jacob can be contacted via phone (845) 471-0800.

Contact Information

Primary practice address
207 Washington Street Suite 203 Poughkeepsie NY 12601
Fax: (845) 471-0811
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 143464-1 New York

Profile Details

NPI number 1669440038
LBN Legal business name Enisman, Lawrence Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669440038 NPPES
New York MEDICAID 00841676

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