Individual
CHANA RIVKA LERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 RIVERGLEN DR, THIELLS, NY 10984-1436
(401) 965-1791
Mailing address
8 RIVERGLEN DR, THIELLS, NY 10984-1436
(401) 965-1791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1445600201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
745346504-00
—
NY
Enumeration date
11/23/2020
Last updated
11/23/2020
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