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Contact Information

LAWRENCE J GORDON, MD
2004 ROUTE 17M
GOSHEN, NY10924-5210
 Phone: 845-294-0661
 Fax: 845-818-9646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otolaryngic Allergy

207YX0602X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for LAWRENCE J GORDON · (Male)

NPI # 1811970692
Status Active
Credentials MD
Entity Individual
Enumeration date 11/25/2005
Last updated 10/09/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 183723
  • NY Medicaid 01515700
  • Other 10000172090012 AFFINITY HEALTH PLAN
  • Other 8M7342 BCBS NY
  • Other 0182804 GHI
  • Other ZE3167 HEALTHNET OF NORTHEAST
  • Other 3824829 OXFORD
  • NY Other 4572033 AETNA
  • NY Other 10035906 CDPHP
  • NY Other 120076 GHI HMO
  • NY Other 384148P HIP
  • NY Other 047123 MVP
  • NY Other 040007473 RAILROAD MEDICARE
  • NY Other 116999 WELLCARE
Hospital affiliation(s)
  • ORANGE REGIONAL MEDICAL CENTER - (Acute Care)
    707 EAST MAIN STREET
    MIDDLETOWN, NY 10940
  • ST ANTHONY COMMUNITY HOSPITAL - (Acute Care)
    15 - 19 MAPLE AVENUE
    WARWICK, NY 10990
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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