Provider Demographics
NPI:1063683563
Name:LERNER, JEAN M (DC)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:M
Last Name:LERNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 WINDSOR PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1259
Mailing Address - Country:US
Mailing Address - Phone:718-369-7260
Mailing Address - Fax:718-499-5616
Practice Address - Street 1:294 WINDSOR PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1259
Practice Address - Country:US
Practice Address - Phone:718-369-7260
Practice Address - Fax:718-499-5616
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003750-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor