MEDICARE: DR. ARI BENJAMIN LERNER M.D.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	234524	NY
2	261QA1903X	Ambulatory Surgical Clinic/Center	234524	NY

General Provider Information

NPI Number	:	1114958717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARI BENJAMIN LERNER M.D.

Provider Business Mailing Address
First Line	:	2515 CRESCENT ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-4370
Country	:	US
Telephone Number	:	718-932-1740
Fax Number	:	718-728-1730

Provider Business Practice Location Address
First Line	:	2515 CRESCENT ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-4370
Country	:	US
Telephone Number	:	718-932-1740
Fax Number	:	718-728-1730

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	12/09/2015

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