License holder summary

DEFAZIO MARK LAURENCE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for DEFAZIO MARK LAURENCE is BROOKLYN NY. This doctor license is current. The license was granted 06/20/1989 and expired on 08/31/2017.

New York

Office of the Professions

DEFAZIO MARK LAURENCE
Medicine (Physician, Including M Ds & D Os)
License number
178425
Date granted
06/20/1989
Date expires
08/31/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
BROOKLYN NY
nymedicine.org
ID 30124156
LAST UPDATED 2024-03-15 23:58:47 UTC

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