Healthcare Provider Details

I. General information

NPI: 1063546190
Provider Name (Legal Business Name): LANA KLEYNERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 CHARLES LINDBERGH BLVD
UNIONDALE NY
11553-3658
US

IV. Provider business mailing address

100 OCEANA DR W APT 3I
BROOKLYN NY
11235-6651
US

V. Phone/Fax

Practice location:
  • Phone: 516-228-6208
  • Fax: 516-794-2014
Mailing address:
  • Phone: 347-645-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number1668989
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number166989
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: