Organization · NPI-2

Jonathan Louis Lebowitz MD PC

Plastic Surgery · Huntington, NY

NPI number1801120670
StatusActive
Last updated in NPPESSep 28, 2009

Details

NPI
1801120670
Entity type
Organization (NPI-2)
Legal business name
Jonathan Louis Lebowitz MD PC
Organization subpart
No
Enumeration date
Sep 28, 2009
Last updated
Sep 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery152060NYYes

Practice location

29 Green St
Huntington, NY 11743-3345

Phone 631-424-0101 · Fax 631-424-0165

Mailing address

29 Green St
Huntington, NY 11743-3345

Phone 631-424-0101 · Fax 631-424-0165

Authorized official

Jonathan Louis Lebowitz
Owner
6314240101

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