Koss, Lawrence

Koss, Lawrence is an individual health care provider with primary practice located at 3045 East Ave Lifetime Health Center Building, Central Square NY 13036-9502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koss, Lawrence can be contacted via phone (315) 668-1202.

Contact Information

Primary practice address
3045 East Ave Lifetime Health Center Building Central Square NY 13036-9502
Phone: (315) 668-1202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 208062 New York

Profile Details

NPI number 1790884666
LBN Legal business name Koss, Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 20th, 2010 - about 14 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 1790884666 NPPES
New York MEDICAID 00355266

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