Individual
LAURENCE M DEGELSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST MAIN STREET, NORTHERN WESTCHESTER HOSPITAL EMERGENCY DEPARTMENT, MOUNT KISCO, NY 10549
(914) 666-1254
(914) 666-1931
Mailing address
400 EAST MAIN STREET, NORTHERN WESTCHESTER HOSPITAL MEDICAL AFFAIRS, MOUNT KISCO, NY 10549
(914) 666-1200
(914) 666-1965
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
209260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000106184
GHI HMO
—
01
—
0112885
GHI PPO
—
05
—
01814759
—
NY
01
—
0607010000011
FIDELIS CARE OF NY PIN
NY
01
—
10051435D815
CAPITAL DISTR
—
01
—
3917852
AETNA HMO
—
01
—
4147747
MVP
—
01
—
5C7510
HEALTHNET
—
01
—
7391237
AETNA PPO
—
01
—
828481
BCBS
—
01
—
P2831171
OXFORD
—
Enumeration date
09/08/2005
Last updated
09/24/2007
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