Jacowitz, Lawrence
Jacowitz, Lawrence is an individual health care provider with primary practice located at 1 Family Practice Dr , Kingston NY 12401-6449. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Jacowitz, Lawrence can be contacted via phone (845) 338-6400.Contact Information
Primary practice address
1 Family Practice Dr
Kingston NY 12401-6449
Phone: (845) 338-6400
Fax: (845) 339-7288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N002499 | New York |
Profile Details
| NPI number | 1336199876 |
|---|---|
| LBN Legal business name | Jacowitz, Lawrence |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 23rd, 2012 - about 13 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 | 1336199876 | NPPES |
| New York | MEDICAID | 00414902 |
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