Provider Demographics
NPI:1053449991
Name:LEHRMAN, GARY ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:ROBERT
Last Name:LEHRMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-2310
Mailing Address - Country:US
Mailing Address - Phone:914-269-1740
Mailing Address - Fax:914-881-4013
Practice Address - Street 1:362 N BROADWAY
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-269-1740
Practice Address - Fax:914-881-4013
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145186207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
1053449991OtherNPI
1053449991OtherNPI
A400012343ANN71Medicare PIN