Provider Demographics
NPI:1104000876
Name:DR. BARRY S. LERNER
Entity Type:Organization
Organization Name:DR. BARRY S. LERNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:845-343-7500
Mailing Address - Street 1:453 ROUTE 211 E
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2206
Mailing Address - Country:US
Mailing Address - Phone:845-343-7500
Mailing Address - Fax:845-343-0155
Practice Address - Street 1:453 ROUTE 211 E
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2206
Practice Address - Country:US
Practice Address - Phone:845-343-7500
Practice Address - Fax:845-343-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN03054213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5393270001Medicare NSC