Basic Information
| Provider Information | |||||||||
| NPI: | 1508841685 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GOLD | ||||||||
| FirstName: | LAWRENCE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 210 WESTCHESTER AVE | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106042901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146826430 | ||||||||
| FaxNumber: | 9146826462 | ||||||||
| Practice Location | |||||||||
| Address1: | 2700 WESTCHESTER AVE | ||||||||
| Address2: | |||||||||
| City: | PURCHASE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105772547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146826430 | ||||||||
| FaxNumber: | 9146826462 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2005 | ||||||||
| LastUpdateDate: | 10/21/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085B0100X | 202427 | NY | N | Allopathic & Osteopathic Physicians | Radiology | Body Imaging | 2085N0904X | 202427 | NY | N | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology | 2085P0229X | 202427 | NY | N | Allopathic & Osteopathic Physicians | Radiology | Pediatric Radiology | 2085R0202X | 202427 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085U0001X | 202427 | NY | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound |
No ID Information.