MEDICARE: LAUTER 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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1548149990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUTER MEDICAL PLLC

Provider Business Mailing Address
First Line	:	48 W 21ST ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-7314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 W 21ST ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-7314
Country	:	US
Telephone Number	:	646-596-7015
Fax Number	:

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	DR. JONATHAN LAUTER
Credential	:	MD
Telephone Number	:	646-593-1221

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	08/29/2025

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