Provider Demographics
NPI:1558433680
Name:ARYEH GORENSTEIN MD INC
Entity Type:Organization
Organization Name:ARYEH GORENSTEIN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARYEH
Authorized Official - Middle Name:
Authorized Official - Last Name:GORENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-687-5445
Mailing Address - Street 1:3064 COLUMBUS LANCASTER RD NW
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8126
Mailing Address - Country:US
Mailing Address - Phone:740-687-5445
Mailing Address - Fax:740-687-5699
Practice Address - Street 1:3064 COLUMBUS LANCASTER RD NW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130
Practice Address - Country:US
Practice Address - Phone:740-687-5445
Practice Address - Fax:614-687-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2288939Medicaid
OH9319475Medicare PIN
OH9319472Medicare PIN
OH9319474Medicare PIN
OH9319476Medicare PIN
OH9319471Medicare PIN
OH2288939Medicaid
OH9319477Medicare PIN
OHDD7583Medicare PIN