Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 092825 | NY |
NPI | 1023076437 |
---|---|
Provider Name | Lawrence R Marwill |
First Address | Albany, NY 12208-3436 |
Second Address | Albany, NY 12208-3436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00540423 | (05) | NY |
B80816 | (02) | NY |