Provider Demographics
NPI:1063414795
Name:ORINSTEIN, LAWRENCE (DO)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:ORINSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1973 MORRIS GATE
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2454
Mailing Address - Country:US
Mailing Address - Phone:516-785-0485
Mailing Address - Fax:
Practice Address - Street 1:1973 MORRIS GATE
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2454
Practice Address - Country:US
Practice Address - Phone:516-785-0485
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162622207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD91892Medicare UPIN
NY71D351Medicare ID - Type Unspecified