LAWRENCE R. SIROTA, DO, PC
Medical Practice at Willis Ave, Albertson, NY

License number
New York 203715
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: DR. LAWRENCE ROBERT SIROTA DO
Title: DO/PRESIDENT
Phone: (516) 791-3150
Address
Address
936 Willis Ave, Albertson, NY 11507
National Provider ID: 1427389758
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAWRENCE R. SIROTA, D.O., PC

936 Willis Ave, Albertson, NY 11507

Registration:
Jun 9, 1999
State ID:
2386742
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Lawreence Robert Sirota, 936 Willis Ave, Albertson, NY 11507 (Physical)
Agent:
Lawrence Robert Sirota,936 Willis Ave, Albertson, NY 11507 (Physical)

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