Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 155879-1 | NY |
NPI | 1003889221 |
---|---|
Provider Name | Dr. Lawrence Scheinberg |
First Address | Mineola, NY 11501-3901 |
Second Address | Mineola, NY 11501-3957 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 03/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00792021 | (05) | NY |
A60022 | (02) | NY |