Provider Demographics
NPI:1679723035
Name:LAWRENCE, NATHALIE KATHE
Entity Type:Individual
Prefix:MRS
First Name:NATHALIE
Middle Name:KATHE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NATHALIE
Other - Middle Name:KATHE
Other - Last Name:AUGUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:566 MACON PL
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-2829
Mailing Address - Country:US
Mailing Address - Phone:516-996-0419
Mailing Address - Fax:
Practice Address - Street 1:32-02 JUNCTION BLVD
Practice Address - Street 2:IS 227 LOUIS ARMSTRONG MIDDLE SCHOOL
Practice Address - City:E ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369
Practice Address - Country:US
Practice Address - Phone:718-335-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010647225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics