Individual
DR. MARK LERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
PUTNAM HALL SOUTH CAMPUS, STONY BROOK, NY 11794-0001
(631) 632-9510
Mailing address
PUTNAM HALL SOUTH CAMPUS, STONY BROOK, NY 11794-0001
(631) 632-9510
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
199686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400025898
MEDICARE PROVIDER NUMER
NY
Enumeration date
10/19/2006
Last updated
03/16/2017
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