Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 146151 | NY |
N | 207VX0000X | Obstetrician | 146151 | NY |
NPI | 1447255088 |
---|---|
Provider Name | Dr. Lawrence Abraham Dolkart |
First Address | Elmira, NY 14905-1634 |
Second Address | Elmira, NY 14905-1634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 21/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004265920 | AETNA PROVIDER NUMBER (01) | NY |
000910038001 | HEALTHNOW PROVIDER# (01) | NY |
0011763950001 | (05) | PA |
00630837 | (05) | NY |
161327045 | BCBS PROV ID NUMBER (01) | NY |
161327045 | UHC PROVIDER ID # (01) | NY |
B71908 | (02) | NY |