Healthcare Provider Details

I. General information

NPI: 1598807224
Provider Name (Legal Business Name): DEAN G. LORICH, M.D. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 70TH ST
NEW YORK NY
10021-9800
US

IV. Provider business mailing address

535 E 70TH ST
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-4509
  • Fax: 212-746-8191
Mailing address:
  • Phone: 212-746-4509
  • Fax: 212-746-8191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number202834
License Number StateNY

VIII. Authorized Official

Name: DR. DEAN GERARD LORICH
Title or Position: PROVIDER
Credential: M.D.
Phone: 212-746-4509