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NPI Code Detail

MEDICARE: LFL INTERNAL MEDICINE ASSOCIATES PC

MEDICARE: LFL INTERNAL MEDICINE ASSOCIATES PC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1821293929
Entity Type Code : Organization
Provider Name (Legal Business Name) : LFL INTERNAL MEDICINE ASSOCIATES PC
Provider Business Mailing Address
First Line : 6915 YELLOWSTONE BLVD
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3753
Country : US
Telephone Number : 718-268-4500
Fax Number : 718-268-1336
Provider Business Practice Location Address
First Line : 6915 YELLOWSTONE BLVD
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3753
Country : US
Telephone Number : 718-268-4500
Fax Number : 718-268-1336
Authorized Official
Title or Position : PHYSICIAN
Name : DR. GARY LERNER
Credential : MD
Telephone Number : 718-268-4500
Provider Enumeration Date : 06/19/2007
Last Update Date : 09/12/2009

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1962474502 — DR. JACK KANAREK M.D.
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1558333013 — DR. RAPHAEL REISS M.D.
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1245323815 — RAPHAEL REISS, A PHYSICIAN P.C.
Practice Location Address:
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1538245626 — GARY NEVIL LERNER MD
Practice Location Address:
6915 YELLOWSTONE BLVD
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1265602197 — MS. CHANI BERGER R - P.A., CERTIFIED
Practice Location Address:
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11375-3753
Practice Phone: 718-544-8400
Practice Fax: 718-263-5401

Directions to “LFL INTERNAL MEDICINE ASSOCIATES PC ” Practice Location

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