Healthcare Provider Details

I. General information

NPI: 1285408708
Provider Name (Legal Business Name): LENA LULAJ AGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 SLEEPY HOLLOW RD
BRIARCLIFF MANOR NY
10510-2516
US

IV. Provider business mailing address

1776 WOODSTEAD CT STE 208
THE WOODLANDS TX
77380-1480
US

V. Phone/Fax

Practice location:
  • Phone: 914-941-5100
  • Fax:
Mailing address:
  • Phone: 877-749-7428
  • Fax: 914-451-4873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF311387-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberF311387-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: