Provider Demographics
NPI:1164496063
Name:LEHRER, MICHAEL D (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:LEHRER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SCHWAB RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-1130
Mailing Address - Country:US
Mailing Address - Phone:631-549-3674
Mailing Address - Fax:631-549-0441
Practice Address - Street 1:1 SCHWAB RD
Practice Address - Street 2:SUITE 6
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-1130
Practice Address - Country:US
Practice Address - Phone:631-549-3674
Practice Address - Fax:631-549-0441
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U55260Medicare UPIN
XOG791Medicare ID - Type Unspecified