Provider Demographics
NPI:1821065905
Name:TYDINGS, LAWRENCE HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:HENRY
Last Name:TYDINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S OYSTER BAY RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3500
Mailing Address - Country:US
Mailing Address - Phone:516-931-4800
Mailing Address - Fax:516-931-7241
Practice Address - Street 1:400 S OYSTER BAY RD
Practice Address - Street 2:SUITE 204
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3500
Practice Address - Country:US
Practice Address - Phone:516-931-4800
Practice Address - Fax:516-931-7241
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106274207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0377266OtherCIGNA
563002OtherBLUE CROSS BLUE SHIELD
563001OtherEMPIRE
1C8119OtherHEALTHNET
550328OtherHERITAGE
106274OtherHIP
11818OtherVYTRA
1225660OtherUNITED HEALTH CARE
14539OtherUSHEALTH CARE
4217993OtherAETNA
62186777OtherMULTIPLAN
AP197OtherOXFORD
0047975OtherGHI
106274-B73OtherHEALTHFIRST
AE47480OtherMDNY
0377266OtherCIGNA
NY16534Medicare UPIN