Provider Demographics
NPI:1942211081
Name:ZWEIBEL, LAWRENCE (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:ZWEIBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 MIDDLE COUNTRY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-265-8780
Mailing Address - Fax:631-265-8521
Practice Address - Street 1:260 MIDDLE COUNTRY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787
Practice Address - Country:US
Practice Address - Phone:631-265-8780
Practice Address - Fax:631-265-8521
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116620207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
201189A30OtherHEALTHFIRST
332059OtherNVA
897892OtherMEC
0036367OtherGHI
180041473OtherRR MEDICARE
2384635OtherAETNA
2C9560OtherHEALTHNET
AH01507OtherMDNY
25039POtherHIP
NY00660128Medicaid
S170382OtherSUFFOLK HEALTH
2677OtherVYTRA
68922OtherGHI HMO
P451156OtherOXFORD
49Z321OtherBCBS
6457738010OtherCIGNA
NY6620OtherEYE MED
2C9560OtherHEALTHNET
68922OtherGHI HMO