Provider Demographics
NPI:1497778161
Name:LERNER, ROBERT G (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:G
Last Name:LERNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19 BRADHURST AVE
Mailing Address - Street 2:SUITE 3070N
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2140
Mailing Address - Country:US
Mailing Address - Phone:914-372-7887
Mailing Address - Fax:914-372-7884
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:SUITE 3070N
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-372-7887
Practice Address - Fax:914-372-7884
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2015-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY086808207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00135424Medicaid
086808OtherHIP
133277785OtherPOMCO
001076OtherCONNECTICARE
113815OtherWELLCARE
1000016495OtherAFFINITY
NY110063277OtherRAILROAD MEDICARE
LR8039OtherATLANTIS
WS727OtherOXFORD
NY00000043813OtherGHI HMO
NY0533021OtherAETNA HMO
40220770OtherFIDELIS
NY0005291OtherGHI PPO
NY381615OtherMVP
NY5C9542OtherHEALTHNET
NY4396804OtherAETNA PPO
NY520771OtherBCBS OF NY
NY520771OtherBCBS OF NY