Provider Demographics
NPI:1073608030
Name:BREATH FOR LIFE INC
Entity Type:Organization
Organization Name:BREATH FOR LIFE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-233-2917
Mailing Address - Street 1:40 WINDSOR GATE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1061
Mailing Address - Country:US
Mailing Address - Phone:516-233-2917
Mailing Address - Fax:516-570-6457
Practice Address - Street 1:40 WINDSOR GATE DR
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:NY
Practice Address - Zip Code:11040-1061
Practice Address - Country:US
Practice Address - Phone:516-233-2917
Practice Address - Fax:516-570-6457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W39291OtherPTAN