Mack, Laurence F

Mack, Laurence F is an sole proprietor health care provider with primary practice located at 627 Broadway , N Massapequa NY 11758-5031. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mack, Laurence F can be contacted via phone (516) 799-3462.

Contact Information

Primary practice address
627 Broadway N Massapequa NY 11758-5031
Phone: (516) 799-3462
Fax: (516) 799-5930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 168820 New York

Profile Details

NPI number 1194747444
LBN Legal business name Mack, Laurence F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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