Individual
DR. GARETH M. C. LEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029
(212) 241-0939
Mailing address
1 GUSTAVE L LEVY PL # 1183, NEW YORK, NY 10029-6504
(212) 241-6987
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
260449
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
260449
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03361828
—
NY
01
—
J400088956
MEDICARE
—
Enumeration date
07/05/2007
Last updated
06/12/2019
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