LAWRENCE J TARASUK

SOUTHAMPTON, NY
NPI1013182591
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NY  248412)
Additional Taxonomies208M00000X Hospitalist
(Licence: NY  248415)
Enumeration Date2008-04-25
Last Update Date2009-05-02
Business Address
-- LAWRENCE J TARASUK DO
325 MEETING HOUSE LN BLDG 2 SUITE 403
SOUTHAMPTON, NY 11968-5087
Phone number: 631-283-2100
Mailing Address
-- LAWRENCE J TARASUK DO
PO BOX 2340
SOUTHAMPTON, NY 11969-2340
Phone number: 631-283-2100
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