1871547448

Everything you always wanted to know about KISS P LAWRENCE M.D. but were afraid to ask.

KISS P LAWRENCE M.D.

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
KISS P LAWRENCE M.D.
Gender:
Male
Enumeration date:
2006-05-19
Last update date:
2011-12-20
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
A400011869 Other NGS NY
03104836 Medicaid none NY
I52562 Medicare UPIN none NY
A400011868 Medicare PIN none NY

Taxonomies

Taxonomy State License Number Primary?
Pain Medicine Pain Medicine NY 230106

Phone Numbers

Type Number
Mailing Address Telephone Number 5165421090
Practice Location Address Telephone Number 2124202124
Mailing Address Fax Number 7706669097
Practice Location Address Fax Number 2124203449

Addresses

Type Address City State Postal Country
Mailing Address 1900 HEMPSTEAD TPKE SUITE 12S34 EAST MEADOW NY 11554 NY
Practice Location Address 10 NATHAN D PERLMAN PLACE SUITE 500 NEW YORK NY 10003 NY

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