MEDICARE: LEXINGTON AVENUE MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1073110003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON AVENUE MEDICAL PC

Provider Business Mailing Address
First Line	:	355 LEXINGTON AVE # 12F
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-6603
Country	:	US
Telephone Number	:	516-859-2281
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 LEXINGTON AVE # 12F
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-6603
Country	:	US
Telephone Number	:	516-859-2281
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARNOLD SAPERSTEIN
Credential	:	MD
Telephone Number	:	516-859-2281

Provider Enumeration Date	:	10/02/2020
Last Update Date	:	10/02/2020

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