Lawrence Jay Gordon in Goshen - Otolaryngic Allergy
Lawrence Jay Gordon - NPI 1811970692
Lawrence Jay Gordon is a Otolaryngic Allergy in Goshen, New York. Lawrence Jay Gordon practices all healthcare services and medical treatments related to Otolaryngic Allergy. The NPI Number for Lawrence Jay Gordon is 1811970692. The last update date is 2013-09-20.
Lawrence Jay Gordon's current location address is 2004 Route 17m, Goshen, New York. You can contact this provider via phone number 8452940661 and fax number 8458189646. The mailing address for Lawrence Jay Gordon is 2004 Route 17m, Goshen, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Jay Gordon |
|---|---|
| Address | 2004 Route 17m, Goshen, New York |
| Phone Number | 8452940661 |
| Fax Number | 8458189646 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811970692 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2013-09-20 |
Provider Mailing Address Detail
| Address | 2004 Route 17m |
|---|---|
| City | Goshen |
| State | New York (NY) |
| Post Code | 109245210 |
| Phone Number | 8452940661 |
| Fax Number | 8458189646 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngic Allergy |
|---|---|
| Taxonomy | 207Yx0602X |
| Licence No | 183723 |
|
Definition: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116999 | NY | WELLCARE | |
| 182804 | GHI | ||
| 40007473 | NY | RAILROAD MEDICARE | |
| 3824829 | OXFORD | ||
| 384148P | NY | HIP | |
| 10035906 | NY | CDPHP | |
| 4572033 | NY | AETNA | |
| 8M7342 | BCBS NY | ||
| 10000172090012 | AFFINITY HEALTH PLAN | ||
| 120076 | NY | GHI HMO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lawrence Jay Gordon by the Centers for Medicare & Medicaid Services?
The Lawrence Jay Gordon has been issued the NPI (National Provider Identifier) 1811970692, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lawrence Jay Gordon is geographically located?
The Lawrence Jay Gordon is physically situated at the following location: 2004 Route 17M, Goshen, NY, 109245210.
What is Lawrence Jay Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lawrence Jay Gordon's specialized field of practice is Otolaryngic Allergy, and the corresponding taxonomy code that categorizes this area of specialization is 207Yx0602X.
When did Lawrence Jay Gordon receive its 1811970692 assignment?
The Lawrence Jay Gordon was assigned its 1811970692 on 2005-11-25, which is the date when this unique identifier was issued to the organization.
When was the Lawrence Jay Gordon's information last updated?
The Lawrence Jay Gordon's information was last updated on 2013-09-20.