Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 239364 | NY |
Y | 2080P0214X | Pediatric Pulmonologist | 239364 | NY |
NPI | 1144276015 |
---|---|
Provider Name | Lawrence E Kurlandsky |
First Address | Syracuse, NY 13210-2306 |
Second Address | Syracuse, NY 13210-2306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 07/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02739926 | (05) | NY |
F06098 | (02) | NY |