Mancino, Lawrence
Mancino, Lawrence is an individual health care provider with primary practice located at 360 Edison St , Staten Island NY 10306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mancino, Lawrence can be contacted via phone (718) 351-6377.Contact Information
Primary practice address
360 Edison St
Staten Island NY 10306
Phone: (718) 351-6377
Fax: (718) 980-7341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 185177 | New York |
Profile Details
| NPI number | 1083685994 |
|---|---|
| LBN Legal business name | Mancino, Lawrence |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | May 15th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083685994 | NPPES |
| New York | MEDICAID | 01600628 | |
| New York | Other | 110145269 |
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