Provider Demographics
NPI:1447255088
Name:DOLKART, LAWRENCE ABRAHAM (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ABRAHAM
Last Name:DOLKART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 FITCH ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14905-1634
Mailing Address - Country:US
Mailing Address - Phone:607-737-1184
Mailing Address - Fax:607-737-0738
Practice Address - Street 1:600 FITCH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14905-1634
Practice Address - Country:US
Practice Address - Phone:607-737-1184
Practice Address - Fax:607-737-0738
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146151207VM0101X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000910038001OtherHEALTHNOW PROVIDER#
NY161327045OtherUHC PROVIDER ID #
NY0004265920OtherAETNA PROVIDER NUMBER
PA0011763950001Medicaid
NY161327045OtherBCBS PROV ID NUMBER
NY00630837Medicaid
NY0004265920OtherAETNA PROVIDER NUMBER
NY161327045OtherBCBS PROV ID NUMBER