Healthcare Provider Details

I. General information

NPI: 1154485704
Provider Name (Legal Business Name): THOMAS JOSEPH ANSORGE LEHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 E 70TH ST
NEW YORK NY
10021-4872
US

IV. Provider business mailing address

535 E 70TH ST
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 212-606-1151
  • Fax: 212-606-1938
Mailing address:
  • Phone: 212-606-1151
  • Fax: 212-606-1938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number169864
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: