Provider Demographics
NPI:1750358339
Name:SCHARER, LAWRENCE LESLIE (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:LESLIE
Last Name:SCHARER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 E 82ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0305
Mailing Address - Country:US
Mailing Address - Phone:212-861-9383
Mailing Address - Fax:212-628-3258
Practice Address - Street 1:54 E 82ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0305
Practice Address - Country:US
Practice Address - Phone:212-861-9383
Practice Address - Fax:212-628-3258
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082963207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY011-22-951Medicaid
C09387Medicare UPIN
C09387Medicare UPIN