Lawrence, Jeffrey R

Lawrence, Jeffrey R is an sole proprietor health care provider with primary practice located at 949 Central Ave Ste 200, Woodmere NY 11598-1204. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lawrence, Jeffrey R can be contacted via phone (516) 374-1360.

Contact Information

Primary practice address
949 Central Ave Ste 200 Woodmere NY 11598-1204
Fax: (516) 536-0313
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR007430-1 New York

Profile Details

NPI number 1114913720
LBN Legal business name Lawrence, Jeffrey R
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Nov 8th, 2010 - about 14 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 1114913720 NPPES
New York Other R007430 HIP PROVIDER #
New York Other 0054754 HIP PROVIDER #

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