MEDICARE: LANA NIRENSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	D83827	MD
2	207XP3100X	Pediatric Orthopaedic Surgery Physician	295730	NY

General Provider Information

NPI Number	:	1164789145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANA NIRENSTEIN MD

Provider Business Mailing Address
First Line	:	7206 NORTHERN BLVD FL 2
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-1049
Country	:	US
Telephone Number	:	866-670-6824
Fax Number	:

Provider Business Practice Location Address
First Line	:	7206 NORTHERN BLVD FL 2
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-1049
Country	:	US
Telephone Number	:	866-670-6824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2012
Last Update Date	:	05/13/2024

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Directions to “ LANA NIRENSTEIN MD” Practice Location

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