Provider Demographics
NPI:1114958717
Name:LERNER, ARI BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARI
Middle Name:BENJAMIN
Last Name:LERNER
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 1:2515 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-4370
Mailing Address - Country:US
Mailing Address - Phone:718-932-1740
Mailing Address - Fax:718-728-1730
Practice Address - Street 1:2515 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-4370
Practice Address - Country:US
Practice Address - Phone:718-932-1740
Practice Address - Fax:718-728-1730
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234524207LP2900X, 261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical