Basic Information
| Provider Information | |||||||||
| NPI: | 1780698639 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANNES | ||||||||
| FirstName: | LAWRENCE | ||||||||
| MiddleName: | BERNARD | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD FACC FCCP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2700 WESTCHESTER AVE | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | PURCHASE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105772547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146826538 | ||||||||
| FaxNumber: | 9144571583 | ||||||||
| Practice Location | |||||||||
| Address1: | ONE STONE PLACE | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | BRONXVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146074760 | ||||||||
| FaxNumber: | 9146074761 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2006 | ||||||||
| LastUpdateDate: | 10/16/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 100863 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | NY100863 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 0574756 | 01 | CARDIOLOGY ONLY | OTHER | 2860039003 | 01 | CIGNA | OTHER | 1C7810 | 01 | HEALTHNET | OTHER | 568431 | 01 | NY | BCBS | OTHER |