Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 1853181 | NY |
NPI | 1134122773 |
---|---|
Provider Name | Dr. Philip Gerard Lauria |
First Address | Orchard Park, NY 14127-1581 |
Second Address | Orchard Park, NY 14127-1581 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 21/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005118101 | COMMUNITY BLUE (01) | NY |
00664535 | (05) | NY |
0705528 | IHA (01) | NY |
10099901 | UNIVERA (01) | NY |
161019149 | AETNA (01) | NY |
161019149 | FIDELIS (01) | NY |
161019149 | NORTH AMERICAN (01) | NY |
161019149 | NOVA (01) | NY |
161019149 | UNITED HEALTH CARE (01) | NY |
F51558 | (02) | NY |