Lawrence Jay Gordon
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
2004 Route 17m
Goshen
, New York 10924-5210
Lawrence Jay Gordon
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
2004 Route 17m
Goshen
, New York 10924-5210
(845) 818-9646
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Lawrence Jay Gordon
- 2004 Route 17m
- Goshen, NY
- Zip : 10924-5210
- Fax : (845) 818-9646
- Phone : (845) 294-0661
Second Address
- Lawrence Jay Gordon
- 2004 Route 17m
- Goshen, NY
- Zip : 10924-5210
- Fax : (845) 818-9646
- Phone : (845) 294-0661
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 183723 | NY |
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | 183723 | NY |
National Provider Identifier
| NPI | 1811970692 |
|---|---|
| Provider Name | Lawrence Jay Gordon |
| First Address | Goshen, NY 10924-5210 |
| Second Address | Goshen, NY 10924-5210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/11/2005 |
| Last Update Date | 20/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01515700 | (05) | NY |
| 0182804 | GHI (01) | |
| 040007473 | RAILROAD MEDICARE (01) | NY |
| 047123 | MVP (01) | NY |
| 10000172090012 | AFFINITY HEALTH PLAN (01) | |
| 10035906 | CDPHP (01) | NY |
| 116999 | WELLCARE (01) | NY |
| 120076 | GHI HMO (01) | NY |
| 3824829 | OXFORD (01) | |
| 384148P | HIP (01) | NY |
| 4572033 | AETNA (01) | NY |
| 8M7342 | BCBS NY (01) | |
| F93919 | (02) | NY |
| ZE3167 | HEALTHNET OF NORTHEAST (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.