Glantz, Lawrence Michael
Glantz, Lawrence Michael is an individual health care provider with primary practice located at 117 W Liberty St , Rome NY 13440-5758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Glantz, Lawrence Michael can be contacted via phone (315) 339-0401.Contact Information
Primary practice address
117 W Liberty St
Rome NY 13440-5758
Phone: (315) 339-0401
Fax: (315) 339-2957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 165244-1 | New York |
Profile Details
| NPI number | 1730189416 |
|---|---|
| LBN Legal business name | Glantz, Lawrence Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 19th, 2013 - about 11 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 | 1730189416 | NPPES |
| New York | MEDICAID | 00-961-702 |
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