Individual provider · NPI-1

Jonathan Louis Lebowitz, MD

Plastic Surgery · Huntington, NY

NPI number1962561894
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1962561894
Entity type
Individual (NPI-1)
Name
Jonathan Louis Lebowitz
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 6, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery152060NYYes

Practice location

775 Park Avenue
Suite 225
Huntington, NY 11743

Phone 631-424-0101 · Fax 631-424-0165

Mailing address

775 Park Avenue
Suite 225
Huntington, NY 11743

Phone 631-424-0101 · Fax 631-424-0165

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