Provider Demographics
NPI:1881633469
Name:LAWRENCE, DAVID B (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:LAWRENCE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:560 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5112
Mailing Address - Country:US
Mailing Address - Phone:914-984-2534
Mailing Address - Fax:914-241-1176
Practice Address - Street 1:3020 WESTCHESTER AVE
Practice Address - Street 2:SUITE 303 - ENTA
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2565
Practice Address - Country:US
Practice Address - Phone:914-253-8070
Practice Address - Fax:914-251-0868
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2011-10-22
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Provider Licenses
StateLicense IDTaxonomies
NY106231207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC11318Medicare UPIN
NY557991Medicare ID - Type Unspecified