ANDREW H LANE

STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO

Dr ANDREW H LANE is a male medical professional, specializing in Pediatric Medicine. He graduated in 1992 from University Of Connecticut School Of Medicine.

Contact

STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO

2701 SUNRISE HWY
ISLIP TERRACE
NY
117522642

Tel: 6316382375

ANDREW H LANE Information

Npi 1225070451
Pac Id 5294819033
Professional Enrollment Id I20080303000612
Last Name LANE
First Name ANDREW
Middle Name H
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year 1992
Primary Specialty PEDIATRIC MEDICINE
Secondary Specialty 1 ENDOCRINOLOGY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties ENDOCRINOLOGY
Organization Legal Name STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO
Group Practice Pac Id 8921993551
Number Of Group Practice Members 51
Line 1 Street Address 2701 SUNRISE HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ISLIP TERRACE
State NY
Zip Code 117522642
Phone Number 6316382375
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Hospital Affiliation Ccn 2
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Professional Accepts Medicare Assignment Y

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