Provider Demographics
NPI:1093965535
Name:LEBOVITS, SARAH E (APN-BC, CWOCN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:LEBOVITS
Suffix:
Gender:F
Credentials:APN-BC, CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5080
Mailing Address - Country:US
Mailing Address - Phone:718-494-2640
Mailing Address - Fax:718-494-9323
Practice Address - Street 1:141 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5080
Practice Address - Country:US
Practice Address - Phone:718-494-2640
Practice Address - Fax:718-494-9323
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-21
Last Update Date:2008-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304032363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health