MEDICARE: HOWARD ADAM LANE 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	207W00000X	Ophthalmology Physician	212402	NY

General Provider Information

NPI Number	:	1366415135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD ADAM LANE M.D.

Provider Business Mailing Address
First Line	:	1981 MARCUS AVE STE E115
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1038
Country	:	US
Telephone Number	:	516-627-5113
Fax Number	:	516-365-2817

Provider Business Practice Location Address
First Line	:	1981 MARCUS AVE STE E115
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1038
Country	:	US
Telephone Number	:	516-627-5113
Fax Number	:	513-365-2817

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	03/10/2023

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