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General NPI Number Information
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NPI Number | 1255478913
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Entity Type | Organization
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Legal Business Name | COREY LERNER MD PC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 6420 SAUNDERS ST
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City | REGO PARK
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State | NY
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Zip | 11374-3249
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Country | US
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Telephone | 718-897-2363
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Fax | 718-897-1961
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Provider Business Mailing Address
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Address Line | 6420 SAUNDERS ST
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City | REGO PARK
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State | NY
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Zip | 11374-3249
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Country | US
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Telephone | 718-897-2363
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Fax | 718-897-1961
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. COREY ELIOT LERNER
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Credential | M.D.
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Telephone | 718-897-2363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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