Koke, Lauryn M

Koke, Lauryn M is an individual health care provider with primary practice located at 6144 Route 25A Bldg C, Wading River NY 11792-2018. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Koke, Lauryn M can be contacted via phone (631) 929-3277.

Contact Information

Primary practice address
6144 Route 25A Bldg C Wading River NY 11792-2018
Phone: (631) 929-3277
Fax: (632) 929-3304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 022750 New York

Profile Details

NPI number 1669497095
LBN Legal business name Koke, Lauryn M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1669497095 NPPES
New York Other 022750 PHYSICAL THERAPY LICENSE

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