Individual
LORI MADMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
DAVIS AVE AT E POST RD, WHITE PLAINS, NY 10601-4615
(914) 681-1074
Mailing address
DAVIS AVE AT E POST RD, WHITE PLAINS, NY 10601-4615
(914) 681-1074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
228499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1141007
AETNA - HMO
NY
01
—
2582863
UNITED HEALTHCARE
NY
01
—
3057246
CIGNA
NY
01
—
5C4280
HEALTH NET
NY
01
—
686Y61
EMPIRE BC/BS
NY
01
—
7213822
AETNA - PPO
NY
01
—
P3640043
OXFORD HEALTH PLAN
NY
01
—
TIN
HORIZION
—
Enumeration date
08/14/2006
Last updated
10/10/2007
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