Provider Demographics
NPI:1740241785
Name:LEHACH, JOAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:G
Last Name:LEHACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 CHURCH ST APT 3K
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-3244
Mailing Address - Country:US
Mailing Address - Phone:475-689-4634
Mailing Address - Fax:914-885-1781
Practice Address - Street 1:164 CHURCH ST APT 3K
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-3244
Practice Address - Country:US
Practice Address - Phone:475-689-4634
Practice Address - Fax:914-885-1781
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176701207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01248159Medicaid
NY81F331Medicare ID - Type Unspecified
NY01248159Medicaid