Basic Information
| Provider Information | |||||||||
| NPI: | 1255487310 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LERNER | ||||||||
| FirstName: | ARTHUR | ||||||||
| MiddleName: | GENE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 32 SARLES ST | ||||||||
| Address2: | |||||||||
| City: | ARMONK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105041229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142734041 | ||||||||
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| Practice Location | |||||||||
| Address1: | THE DICKSTEIN CANCER TREATMENT CENTER | ||||||||
| Address2: | 2 LONGVIEW AVE. | ||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149488960 | ||||||||
| FaxNumber: | 9149488963 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2007 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 099637 | NY | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | AG51475F | 05 | NY | MEDICAID |