MEDICARE: HONORE N LANSEN 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	207Q00000X	Family Medicine Physician	261425	NY

General Provider Information

NPI Number	:	1366603573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONORE N LANSEN M.D.

Provider Business Mailing Address
First Line	:	228 PARK AVE S # 49409
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-1502
Country	:	US
Telephone Number	:	646-760-6669
Fax Number	:	646-213-2046

Provider Business Practice Location Address
First Line	:	228 PARK AVE S # 49409
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-1502
Country	:	US
Telephone Number	:	646-760-6669
Fax Number	:	646-213-2046

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

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	07/09/2024

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