Provider Demographics
NPI:1316568835
Name:LION ANALYTICAL
Entity Type:Organization
Organization Name:LION ANALYTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BREUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-222-0391
Mailing Address - Street 1:2 ADELAKE FARE WAY
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-7113
Mailing Address - Country:US
Mailing Address - Phone:914-222-0391
Mailing Address - Fax:
Practice Address - Street 1:2 ADELAKE FARE WAY
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-7113
Practice Address - Country:US
Practice Address - Phone:914-222-0391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies