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Search › New York › 103TC0700X

Lawrence Fantl

NPI 1619578887 · on the registry since 2020 · sole proprietor

Practice

Address
529 Courtlandt Ave
Bronx, NY 10451
Phone
(718) 993-7700
Organisation at this address
Cardinal Mccloskey School And Home For Children
Cardinal Mccloskey School & Home For Children, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
167

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-04

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