Provider Demographics
NPI:1457432353
Name:GROLNICK, LAWRENCE ELY (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:ELY
Last Name:GROLNICK
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 1:89 OLD MAMARONECK RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1903
Mailing Address - Country:US
Mailing Address - Phone:914-948-7416
Mailing Address - Fax:914-206-4047
Practice Address - Street 1:89 OLD MAMARONECK RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1903
Practice Address - Country:US
Practice Address - Phone:914-948-7416
Practice Address - Fax:914-206-4047
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0833822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry