JEFFREY WILLIAM LAWRENCE

JAMAICA, NY
NPI1063848950
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  016950)
Enumeration Date2013-09-24
Last Update Date2013-09-24
Business Address
-- JEFFREY WILLIAM LAWRENCE
8616 JAMAICA AVE
JAMAICA, NY 11421-2042
Phone number: 718-441-2640
Mailing Address
-- JEFFREY WILLIAM LAWRENCE
29 DUNLOP CT.
COMMACK, NY 11725
Phone number: 309-798-6263
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