Healthcare Provider Details

I. General information

NPI: 1306473095
Provider Name (Legal Business Name): LAWRENCE GERSZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 S CLINTON AVE
ROCHESTER NY
14618-2665
US

IV. Provider business mailing address

2180 S CLINTON AVE
ROCHESTER NY
14618-2665
US

V. Phone/Fax

Practice location:
  • Phone: 585-340-8949
  • Fax: 585-785-9901
Mailing address:
  • Phone: 585-340-8949
  • Fax: 585-785-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number324365
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: