Healthcare Provider Details

I. General information

NPI: 1699798314
Provider Name (Legal Business Name): STUART LEHRMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 GRASSLANDS RD-NYMC DEPT OF MEDICINE-MACY PAVILION
VALHALLA NY
10595
US

IV. Provider business mailing address

95 GRASSLANDS RD-NYMC DEPT OF MEDICINE
VALHALLA NY
10595
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-7517
  • Fax: 914-594-4434
Mailing address:
  • Phone: 914-493-7517
  • Fax: 914-594-4434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number174164
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number174164
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: