| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAWRENCE DANIEL KOUTCHER | 1316141773 | 2024-07-05 |
Lawrence D Koutcher [M] graduated in 2005 from Js Weill Medical College, Cornell University and primarily specializes in Radiation Oncology.
Lawrence Daniel Koutcher is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316141773. Registration indicates Lawrence Daniel Koutcher is a provider of access to oncologists services with a specialization in Allopathic & Osteopathic Physicians, Radiology (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Radiation Oncology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Radiation Oncology, Allopathic & Osteopathic Physicians) (Radiology, )
| PECOS ID | 5294868170 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Lawrence Daniel Koutcher M.D. |
| Practice Office Address | 19 COOKE ST POUGHKEEPSIE, NY US |
| Practice Office Telephone | 5705047210 |
| Practice Office Fax | 5709552213 |
| Mailing Address | 1978 CROMPOND RD CORTLANDT MANOR, NY 105674111 US |
| Business Telephone | 9142938450 |
| FHIR [FHIR] | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
| FHIR [FHIR] | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4 | Health Information Exchange (HIE) |
| FHIR [FHIR] | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) |
| Direct Address [Direct Address] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 2085R0001X PRIMARY | Access to Oncologists Allopathic & Osteopathic Physicians Radiology Allopathic & Osteopathic Physicians Radiology Radiology: Radiation Oncology Diagnostics/Imaging/Laboratory/Mammography Radiology Radiation Oncology Allopathic & Osteopathic Physicians Radiology | 240791-1
NY |
| 02591468 | MEDICAID | NY |