Individual
BERNARD J LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 627-6624
(516) 627-3804
Mailing address
100 PORT WASHINGTON BLVD, NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, PC, ROSLYN, NY 11576-1347
(516) 627-6624
(516) 627-3804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09761700
NJ
207L00000X
Anesthesiology Physician
MT195313
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT195313
PA
Other
Enumeration date
05/19/2009
Last updated
06/23/2025
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