Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 184712 | NY |
NPI | 1013997469 |
---|---|
Provider Name | Dr. Lawrence Michael Mcguire |
First Address | Brooklyn, NY 11219-2916 |
Second Address | Brooklyn, NY 11219-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 29/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01507193 | (05) | NY |
E60918 | (02) |