Provider Demographics
NPI:1043445729
Name:LIONEL AND MARIE EDITH F LEFEVRE PHYSICIANS P.C.
Entity Type:Organization
Organization Name:LIONEL AND MARIE EDITH F LEFEVRE PHYSICIANS P.C.
Other - Org Name:L&M E F LEFEVRE PHYSICIANS PC COMPREHENSIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFEVRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-462-6611
Mailing Address - Street 1:3101 CLARENDON RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6415
Mailing Address - Country:US
Mailing Address - Phone:718-462-6611
Mailing Address - Fax:718-462-4944
Practice Address - Street 1:3101 CLARENDON RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6415
Practice Address - Country:US
Practice Address - Phone:718-462-6611
Practice Address - Fax:718-462-4944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-25
Last Update Date:2009-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151536207R00000X
NY155114208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty