SearchNew York174400000X

Laurence Mack, MD

NPI 1194747444 · on the registry since 2006 · sole proprietor

Practice

Address
627 Broadway
N Massapequa, NY 11758
Phone
(516) 799-3462
Fax
(516) 799-5930

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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