Provider Demographics
NPI:1124005087
Name:LECHNER, MICHAEL EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:EDWARD
Last Name:LECHNER
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 1:14 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4831
Mailing Address - Country:US
Mailing Address - Phone:914-762-0722
Mailing Address - Fax:914-941-2840
Practice Address - Street 1:14 CHURCH ST
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4831
Practice Address - Country:US
Practice Address - Phone:914-762-0722
Practice Address - Fax:914-941-2840
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089854208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00395280Medicaid
B14064Medicare UPIN
NY3792011202Medicare ID - Type Unspecified