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Individual

DR. LAWRENCE ABRAHAM DOLKART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 FITCH ST, SUITE 205, ELMIRA, NY 14905-1634
(607) 737-1184
(607) 737-0738
Mailing address
600 FITCH ST, SUITE 205, ELMIRA, NY 14905-1634
(607) 737-1184
(607) 737-0738

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
146151
NY
207VX0000X
Obstetrics Physician
146151
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004265920
AETNA PROVIDER NUMBER
NY
01
000910038001
HEALTHNOW PROVIDER#
NY
05
0011763950001
PA
05
00630837
NY
01
161327045
UHC PROVIDER ID #
NY
Enumeration date
06/20/2005
Last updated
09/21/2010
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