MEDICARE: DR. DAVID L. LERNER DDS

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	122300000X	Dentist	A 033957-1	NY

General Provider Information

NPI Number	:	1588684161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L. LERNER DDS

Provider Business Mailing Address
First Line	:	2649 STRANG BLVD
Second Line	:	SUITE 201
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2939
Country	:	US
Telephone Number	:	914-245-4041
Fax Number	:	914-245-6063

Provider Business Practice Location Address
First Line	:	2649 STRANG BLVD
Second Line	:	SUITE 201
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2939
Country	:	US
Telephone Number	:	914-245-4041
Fax Number	:	914-245-6063

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	07/08/2007

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