MEDICARE: LEXINGTON MEDICAL PLLC

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1528841848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON MEDICAL PLLC

Provider Business Mailing Address
First Line	:	899 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6103
Country	:	US
Telephone Number	:	212-717-9205
Fax Number	:	404-698-2599

Provider Business Practice Location Address
First Line	:	899 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6103
Country	:	US
Telephone Number	:	212-717-9205
Fax Number	:	404-698-2599

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	GREGORY W. SOLOMON
Credential	:	MD
Telephone Number	:	212-717-9205

Provider Enumeration Date	:	08/18/2023
Last Update Date	:	08/18/2023

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Directions to “LEXINGTON MEDICAL PLLC ” Practice Location

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