Provider Demographics
NPI:1053408781
Name:LECHER, THOMAS I (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:I
Last Name:LECHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156-36 CROSSBAY BLVD
Mailing Address - Street 2:SECOND FLOOR, SUITE G
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414
Mailing Address - Country:US
Mailing Address - Phone:718-843-3366
Mailing Address - Fax:718-323-3248
Practice Address - Street 1:156-36 CROSSBAY BLVD
Practice Address - Street 2:SECOND FLOOR, SUITE G
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414
Practice Address - Country:US
Practice Address - Phone:718-843-3366
Practice Address - Fax:718-323-3248
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153443207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00889950Medicaid
NY96163AMedicare ID - Type Unspecified
NY00889950Medicaid