Tarasuk, Lawrence J

Tarasuk, Lawrence J is an individual health care provider with primary practice located at 325 Meeting House Ln Bldg 2 Suite 403, Southampton NY 11968-5087. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Tarasuk, Lawrence J can be contacted via phone (631) 283-2100.

Contact Information

Primary practice address
325 Meeting House Ln Bldg 2 Suite 403 Southampton NY 11968-5087
Phone: (631) 283-2100
Fax: (631) 283-5731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 248412 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 248415 New York

Profile Details

NPI number 1013182591
LBN Legal business name Tarasuk, Lawrence J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated May 2nd, 2009 - about 15 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 1013182591 NPPES
New York Other 248412 LICENSE
New York MEDICAID 02978994 LICENSE

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