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Contact Information

LAWRENCE MANCINO, DO
360 EDISON ST
STATEN ISLAND, NY10306
 Phone: 718-351-6377
 Fax: 718-980-7341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for LAWRENCE MANCINO · (Male)

NPI # 1083685994
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/30/2006
Last updated 05/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 185177
  • NY Medicaid 01600628
  • NY Other 110145269 RR MEDICARE
Hospital affiliation(s)
  • NYU HOSPITALS CENTER - (Acute Care)
    550 FIRST AVENUE
    NEW YORK, NY 10016
  • STATEN ISLAND UNIVERSITY HOSPITAL - (Acute Care)
    475 SEAVIEW AVENUE
    STATEN ISLAND, NY 10305
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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