Organization
LAWRENCE GORDON MD PLLC
Active
Other names
LAWRENCE GORDON MD PLLC, ENT Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE JAY GORDON M.D. (MEMBER)
(845) 294-0661
Entity
Organization
Contact information
Practice address
2004 ROUTE 17M, GOSHEN, NY 10924-5210
(845) 294-0661
Mailing address
2004 ROUTE 17M, GOSHEN, NY 10924-5210
(845) 294-0661
(845) 818-9646
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
183723
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR54
CDPHP
NY
01
—
LA0WWT4710
EMPIRE NEW YORK BC/BS
NY
Enumeration date
07/25/2007
Last updated
10/09/2025
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