Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAURENCE F MACK, MD
Active Sole ProprietorDR. LAURENCE F MACK, MD is a Specialist healthcare provider located in N MASSAPEQUA, New York. NPI 1194747444 is currently active in the NPPES registry. Verify at CMS.
Specialist · N MASSAPEQUA, NY
Registration Details
- NPI Number
- 1194747444
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (20.049819060169 yrs)
- Last Updated
- Jul 8, 2007
- License
-
168820 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
627 BROADWAYN MASSAPEQUA, NY, 117585031Browse NY providers · Browse ZIP 11758
- Phone
- 5167993462
- Fax
- 5167995930
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in N MASSAPEQUA, NY
| Name | Credential | NPI |
|---|---|---|
| JEFFREY BILGER | D.P.T. | 1093767626 |
| DIANE AMBROSE | — | 1255693016 |
| MISS LAUREN M BRIDA | — | 1366706756 |
| MRS. JENNIFER ANN SZCZEPANSKI | — | 1356993901 |
| CLAIRE MARIE BOOTHE | — | 1447132840 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.