Provider Demographics
NPI:1821293929
Name:LFL INTERNAL MEDICINE ASSOCIATES PC
Entity Type:Organization
Organization Name:LFL INTERNAL MEDICINE ASSOCIATES PC
Other - Org Name:FOREST HILLS INTERNAL MEDICINE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-268-4500
Mailing Address - Street 1:6915 YELLOWSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3753
Mailing Address - Country:US
Mailing Address - Phone:718-268-4500
Mailing Address - Fax:718-268-1336
Practice Address - Street 1:6915 YELLOWSTONE BLVD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3753
Practice Address - Country:US
Practice Address - Phone:718-268-4500
Practice Address - Fax:718-268-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2009-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03569Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER