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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790884666 | NPPES |
| New York | MEDICAID | 00355266 |
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