Individual
COURTENEY E LERTORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3215
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
336343-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2022
Last updated
04/02/2026
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