Provider Demographics
NPI:1336174457
Name:LORENZETTI, JOSEPH ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:LORENZETTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:28 CAYUGA ST
Mailing Address - Street 2:
Mailing Address - City:SENECA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13148-1417
Mailing Address - Country:US
Mailing Address - Phone:315-568-8397
Mailing Address - Fax:315-568-4332
Practice Address - Street 1:28 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148-1417
Practice Address - Country:US
Practice Address - Phone:315-568-8397
Practice Address - Fax:315-568-4332
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY144018207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01013478Medicaid
NY01013478Medicaid
NY10552AMedicare PIN