Provider Demographics
NPI:1518969823
Name:LEMBERIKMAN, VIKTORIA (MD, FABPMR)
Entity Type:Individual
Prefix:DR
First Name:VIKTORIA
Middle Name:
Last Name:LEMBERIKMAN
Suffix:
Gender:F
Credentials:MD, FABPMR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 ELM AVE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5306
Mailing Address - Country:US
Mailing Address - Phone:718-382-7755
Mailing Address - Fax:718-382-7719
Practice Address - Street 1:1723 ELM AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5306
Practice Address - Country:US
Practice Address - Phone:718-382-7755
Practice Address - Fax:718-382-7719
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2016-04-08
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
NY22-4073208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02366645Medicaid
NYH40034Medicare UPIN
NY02366645Medicaid