Provider Demographics
NPI:1629115175
Name:DR. LAWRENCE J. MORICONE CHIROPRACTOR. P.C
Entity Type:Organization
Organization Name:DR. LAWRENCE J. MORICONE CHIROPRACTOR. P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORICONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-287-0324
Mailing Address - Street 1:244 OLD MAMARONECK RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-287-0324
Mailing Address - Fax:914-288-0232
Practice Address - Street 1:244 OLD MAMARONECK RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-287-0324
Practice Address - Fax:914-288-0232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4290-5111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty