Provider Demographics
NPI:1215050455
Name:KEMPF, LAWRENCE P (MD)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:P
Last Name:KEMPF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 EAST 69TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4964
Mailing Address - Country:US
Mailing Address - Phone:212-772-1068
Mailing Address - Fax:212-737-7831
Practice Address - Street 1:14 EAST 69TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4964
Practice Address - Country:US
Practice Address - Phone:212-772-1068
Practice Address - Fax:212-737-7831
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02322383Medicaid
NY02322383Medicaid
G65940Medicare UPIN