Provider Demographics
NPI:1134472830
Name:LERNER, JAYME ALYN (MS, RD)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:ALYN
Last Name:LERNER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 34TH ST
Mailing Address - Street 2:APT 14H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4629
Mailing Address - Country:US
Mailing Address - Phone:516-316-1000
Mailing Address - Fax:
Practice Address - Street 1:115 E 34TH ST
Practice Address - Street 2:APT 14H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4629
Practice Address - Country:US
Practice Address - Phone:516-316-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1004009133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered