Provider Demographics
NPI:1699932160
Name:LORCH, EMILY KATE (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KATE
Last Name:LORCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2700 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:914-457-1195
Practice Address - Street 1:1084 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1107
Practice Address - Country:US
Practice Address - Phone:914-848-8570
Practice Address - Fax:914-848-8571
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY247304207R00000X
FLME106602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003696600Medicaid
FL14CL0OtherBLUE CROSS BLUE SHIELD
FL003696600Medicaid
FLP01034378Medicare PIN