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Lawrence Jay Gordon, MD
Otolaryngic Allergy Physician in Goshen, New York
NPI 1811970692

Lawrence Jay Gordon is a Otolaryngic Allergy Physician based in Goshen, NY and is specialized in Otolaryngic Allergy. Lawrence Jay Gordon practices in Goshen, NY and has the professional credentials of MD. The NPI Number for Lawrence Jay Gordon is 1811970692 and holds a License No. 183723 (New York).

The current practice location address for Lawrence Jay Gordon is 2004 Route 17M, Goshen, NY and can be reached out via phone at 845-294-0661 and via fax at 845-818-9646.

Location: 2004 Route 17M, Goshen, NY, 10924-5210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811970692
Provider Name
Lawrence Jay Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2004 Route 17M, Goshen, NY, 10924-5210
Phone Number
845-294-0661
Fax Number
845-818-9646
Provider Enumeration Date
11/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116999 01 NY WELLCARE
0182804 01 GHI
040007473 01 NY RAILROAD MEDICARE
3824829 01 OXFORD
384148P 01 NY HIP
10035906 01 NY CDPHP
4572033 01 NY AETNA
8M7342 01 BCBS NY
10000172090012 01 AFFINITY HEALTH PLAN
120076 01 NY GHI HMO
01515700 05 NY
047123 01 NY MVP
ZE3167 01 HEALTHNET OF NORTHEAST
institution
Provider Business Practice Location Address Details
Address
2004 Route 17M
City
Goshen
State
New York
Zip
10924-5210
Phone Number
845-294-0661
Fax Number
845-818-9646
person
Provider Business Mailing Address Details
Address
2004 Route 17M
City
Goshen
State
New York
Zip
10924-5210
Phone Number
845-294-0661
Fax Number
845-818-9646
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
183723 (New York)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
183723 (New York)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
207YX0602X
License No.
183723 (New York)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
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