SearchNew York164W00000X

Micky Lawrence

NPI 1053690420 · on the registry since 2011

Practice

Address
52 Journeay St
Staten Island, NY 10303
Phone
(646) 355-5075

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York