1245292820 NPI number — DR. CLIFFORD ALAN LEMKIN OD

Table of content: DR. CLIFFORD ALAN LEMKIN OD (NPI 1245292820)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245292820 NPI number — DR. CLIFFORD ALAN LEMKIN OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEMKIN
Provider First Name:
CLIFFORD
Provider Middle Name:
ALAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
OD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245292820
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2921 ERIE BLVD EAST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYRACUSE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13224
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-445-7465
Provider Business Mailing Address Fax Number:
315-445-7675

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
346-78 ROUTE 25A
Provider Second Line Business Practice Location Address:
DAVIS VISION
Provider Business Practice Location Address City Name:
ROCKY POINT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11778
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-744-6800
Provider Business Practice Location Address Fax Number:
631-744-6820
Provider Enumeration Date:
04/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  T0033751 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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