Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 313693 | NY |
NPI | 1205178662 |
---|---|
Provider Name | Dr. Lawrence Andrew Mumm |
First Address | Bronxville, NY 10708-3403 |
Second Address | Bronxville, NY 10708-3403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 17/11/2021 |