Individual
DR. PHILIP GERARD LAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 RED TAIL RD, SUITE 1&2, ORCHARD PARK, NY 14127-1581
(716) 649-6500
(716) 649-0031
Mailing address
240 RED TAIL RD, SUITE 1&2, ORCHARD PARK, NY 14127-1581
(716) 649-6500
(716) 649-0031
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
1853181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005118101
COMMUNITY BLUE
NY
05
—
00664535
—
NY
01
—
0705528
IHA
NY
01
—
10099901
UNIVERA
NY
01
—
161019149
AETNA
NY
Enumeration date
05/27/2005
Last updated
01/21/2016
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