Provider Demographics
NPI:1154416113
Name:ZOLNIK, LAWRENCE ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:ANTHONY
Last Name:ZOLNIK
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 1:243 NORTH RD STE 304
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1173
Mailing Address - Country:US
Mailing Address - Phone:845-437-5000
Mailing Address - Fax:
Practice Address - Street 1:50 EASTDALE AVE N
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603
Practice Address - Country:US
Practice Address - Phone:845-437-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144501207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY167176OtherMOHAWK VALLEY PLAN
NYODO283OtherHEALTHNET
NY10044370OtherCDPHP
NY5117OtherGHI HMO
NY0162811OtherGHI PPO
NY4356025OtherAETNA
NY93A091OtherBLUE CROSS
NY6258622-003OtherCIGNA
NY735178OtherAETNA-HMO
NYDUP065OtherOXFORD
NYDUP065OtherOXFORD