Provider Demographics
NPI:1528046802
Name:LERNER, SHULAMIT (MD)
Entity type:Individual
Prefix:DR
First Name:SHULAMIT
Middle Name:
Last Name:LERNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3220 FAIRFIELD AVE
Mailing Address - Street 2:GROUND FLOOR, RIGHT ENTRANCE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3240
Mailing Address - Country:US
Mailing Address - Phone:718-432-8800
Mailing Address - Fax:855-874-7381
Practice Address - Street 1:3220 FAIRFIELD AVE
Practice Address - Street 2:GROUND FLOOR, RIGHT ENTRANCE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3240
Practice Address - Country:US
Practice Address - Phone:718-432-8800
Practice Address - Fax:855-874-7381
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2015-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2208902080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02654713Medicaid
NYI29123Medicare UPIN
NY640X81Medicare ID - Type Unspecified