Provider Demographics
NPI:1033305453
Name:LAWRENCE M. BARNARD, D.O. PLLC
Entity Type:Organization
Organization Name:LAWRENCE M. BARNARD, D.O. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-316-3872
Mailing Address - Street 1:9 RAY CT
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4148
Mailing Address - Country:US
Mailing Address - Phone:516-316-3872
Mailing Address - Fax:516-249-2081
Practice Address - Street 1:9 RAY CT
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4148
Practice Address - Country:US
Practice Address - Phone:516-316-3872
Practice Address - Fax:516-249-2081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222994204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02755544Medicaid
NY6Q6412Medicare PIN