Provider Demographics
NPI:1346438561
Name:HYACINTHE, LAURENCE (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:
Last Name:HYACINTHE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 5TH AVE UNIT 1695
Mailing Address - Street 2:DENTAL DEPARTMENT - STATION 21
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-9464
Mailing Address - Country:US
Mailing Address - Phone:347-292-1757
Mailing Address - Fax:646-484-5474
Practice Address - Street 1:1845 ADAM CLAYTON POWELL JR BLVD STE 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-3625
Practice Address - Country:US
Practice Address - Phone:347-292-1757
Practice Address - Fax:718-213-4957
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0528371223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03275569Medicaid