Gordon, Lawrence Jay

Gordon, Lawrence Jay is an sole proprietor health care provider with primary practice located at 2004 Route 17M , Goshen NY 10924-5210. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Gordon, Lawrence Jay can be contacted via phone (845) 294-0661.

Contact Information

Primary practice address
2004 Route 17M Goshen NY 10924-5210
Phone: (845) 294-0661
Fax: (845) 818-9646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 183723 New York
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 183723 New York
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 183723 New York

Profile Details

NPI number 1811970692
LBN Legal business name Gordon, Lawrence Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2005
Last updated Sep 20th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811970692 NPPES
New York Other 116999 WELLCARE
New York Other 0182804 WELLCARE
New York Other 040007473 WELLCARE
New York Other 3824829 WELLCARE
New York Other 384148P WELLCARE
New York Other 10035906 WELLCARE
New York Other 4572033 WELLCARE
New York Other 8M7342 WELLCARE
New York Other 10000172090012 WELLCARE
New York Other 120076 WELLCARE
New York MEDICAID 01515700 WELLCARE
New York Other 047123 WELLCARE
New York Other ZE3167 WELLCARE

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