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Individual

DR. ONTARIO DORIAN LAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 CENTEROCK RD, WEST NYACK, NY 10994-2215
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4057
(845) 703-6999
(845) 703-6297

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
267607
NY
207Y00000X
Otolaryngology Physician
R0747
TX
208600000X
Surgery Physician
A94026
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
366515001
TX
Enumeration date
04/03/2008
Last updated
10/07/2020
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