Tesser, Lawrence Mark

Tesser, Lawrence Mark is an individual health care provider with primary practice located at 1800 Merrick Rd , Merrick NY 11566-4530. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Tesser, Lawrence Mark can be contacted via phone (516) 377-7701.

Contact Information

Primary practice address
1800 Merrick Rd Merrick NY 11566-4530
Fax: (516) 377-7705
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 005175 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0002526 Florida

Profile Details

NPI number 1053393868
LBN Legal business name Tesser, Lawrence Mark
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Oct 22nd, 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 1053393868 NPPES
New York MEDICAID 01531604

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