Provider Demographics
NPI:1558553529
Name:LERMAN, BARRY ERIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:ERIC
Last Name:LERMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 67TH DR
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2756
Mailing Address - Country:US
Mailing Address - Phone:718-896-0600
Mailing Address - Fax:718-896-3045
Practice Address - Street 1:10101 67TH DR
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2756
Practice Address - Country:US
Practice Address - Phone:718-896-0600
Practice Address - Fax:718-896-3045
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYBL037590122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist