Provider Demographics
NPI:1144305335
Name:LAWRENCE, CLAUDIA F (PA)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:F
Last Name:LAWRENCE
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Gender:F
Credentials:PA
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Mailing Address - Street 1:79 MADISON AVENUE
Mailing Address - Street 2:FLOOR 6 COMMUNITY HEALTHCARE NETWORK INC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-545-2400
Mailing Address - Fax:646-312-0481
Practice Address - Street 1:88 VISITATION PLACE
Practice Address - Street 2:RED HOOK COMMUNTIY JUSTICE CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231
Practice Address - Country:US
Practice Address - Phone:718-722-0543
Practice Address - Fax:718-923-8248
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2008-07-15
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Provider Licenses
StateLicense IDTaxonomies
NY001544363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
NY331956Medicare PIN
Q58932Medicare UPIN