Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 158232 | NY |
NPI | 1003888314 |
---|---|
Provider Name | Dr. Gerald A Lauria |
First Address | Orchard Park, NY 14127-4116 |
Second Address | Orchard Park, NY 14127-4116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 13/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010312201 | UNIVERA HEALTHCARE (01) | NY |
000500390001 | BLUE CROSS BLUE SHIELD (01) | NY |
00844679 | (05) | NY |
1200857 | INDEPENDENT HEALTH (01) | NY |