Provider Demographics
NPI:1447720271
Name:PAUL E LEMANSKI MD PLLC
Entity type:Organization
Organization Name:PAUL E LEMANSKI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-265-3800
Mailing Address - Street 1:2 EXECUTIVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3700
Mailing Address - Country:US
Mailing Address - Phone:518-456-4200
Mailing Address - Fax:518-456-4220
Practice Address - Street 1:2 EXECUTIVE PARK DR STE 1
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3700
Practice Address - Country:US
Practice Address - Phone:518-456-4200
Practice Address - Fax:518-444-4810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01296322Medicaid