Provider Demographics
NPI:1942506373
Name:STEVEN D. LERNER, DPM, PC
Entity Type:Organization
Organization Name:STEVEN D. LERNER, DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-485-9881
Mailing Address - Street 1:1 3RD AVE APT 1025
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4351
Mailing Address - Country:US
Mailing Address - Phone:516-680-4809
Mailing Address - Fax:516-485-3717
Practice Address - Street 1:1 3RD AVE APT 1025
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4351
Practice Address - Country:US
Practice Address - Phone:516-680-4809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002828-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00397782Medicaid
NY00397782Medicaid
NYT50908Medicare UPIN