1649293283 NPI number — LAWRENCE DELORENZO MD

Table of content: LAWRENCE DELORENZO MD (NPI 1649293283)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649293283 NPI number — LAWRENCE DELORENZO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DELORENZO
Provider First Name:
LAWRENCE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649293283
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/20/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
WESTCHESTER MEDICAL CENTER
Provider Second Line Business Mailing Address:
MACY PAVILION, 100 WOODS ROAD
Provider Business Mailing Address City Name:
VALHALLA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10595
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-493-7518
Provider Business Mailing Address Fax Number:
914-594-4434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
WESTCHESTER MEDICAL CENTER
Provider Second Line Business Practice Location Address:
MACY PAVILION, 100 WOODS ROAD
Provider Business Practice Location Address City Name:
VALHALLA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10595
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-493-7518
Provider Business Practice Location Address Fax Number:
914-493-8130
Provider Enumeration Date:
07/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0200X , with the licence number:  131698 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X , with the licence number: 131698 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00602915 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 113803 . This is a "WELLCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131698 . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5C6383 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00000013803 . This is a "GHI HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 131698-3W . This is a "WORKERS COMPENSATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4318623 . This is a "AETNA PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 49A941 . This is a "BCBS OF NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0036691 . This is a "GHI PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 696467 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: WS429 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 002940 . This is a "CONNECTICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0533008 . This is a "AETNA HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 290006589 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com