Provider Demographics
NPI:1194721845
Name:FINK, LAWRENCE S (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:S
Last Name:FINK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX M
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-0259
Mailing Address - Country:US
Mailing Address - Phone:516-561-2720
Mailing Address - Fax:516-561-1493
Practice Address - Street 1:125 FRANKLIN AVE
Practice Address - Street 2:STE 203
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-2165
Practice Address - Country:US
Practice Address - Phone:516-561-2720
Practice Address - Fax:516-561-1493
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY156987208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics