Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 189227 | NY |
NPI | 1396843082 |
---|---|
Provider Name | Dr. Lawrence Minarik |
First Address | Bronx, NY 10463-1748 |
Second Address | Bronx, NY 10463-1748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 07/05/2008 |