Provider Demographics
NPI:1699798314
Name:LEHRMAN, STUART (MD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:
Last Name:LEHRMAN
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 1:95 GRASSLANDS RD-NYMC
Mailing Address - Street 2:DEPT OF MEDICINE
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-7517
Mailing Address - Fax:914-594-4434
Practice Address - Street 1:95 GRASSLANDS RD-NYMC
Practice Address - Street 2:DEPT OF MEDICINE-MACY PAVILION
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-7517
Practice Address - Fax:914-594-4434
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174164207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
118412OtherWELLCARE
13044OtherHEALTHSOURCE
174164OtherHIP
NY01113780Medicaid
NY0534437OtherAETNA HMO
40215310OtherFIDELIS
001052OtherCONNECTICARE
174164-4WOtherWORKERS COMPENSATION
922805OtherMVP
NY00000018412OtherGHI HMO
NY22E001OtherBCBS OF NY
NY0014277OtherGHI PPO
NY4318616OtherAETNA PPO
NY5C6301OtherHEALTHNET
NY110063287OtherRAILROAD MEDICARE ID#
WS423OtherOXFORD