Forur, Lawrence
Forur, Lawrence is an individual health care provider with primary practice located at 150 Islip Ave Suite 12, Islip NY 11751-3222. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Forur, Lawrence can be contacted via phone (631) 581-5100.Contact Information
Primary practice address
150 Islip Ave Suite 12
Islip NY 11751-3222
Phone: (631) 581-5100
Fax: (631) 581-7512
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | TUV004284 | New York |
Profile Details
NPI number | 1023081247 |
---|---|
LBN Legal business name | Forur, Lawrence |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Feb 14th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023081247 | NPPES |
New York | MEDICAID | 00887274 |
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