Provider Demographics
NPI:1144584566
Name:LEFKOWITZ, CHAYA L (MA)
Entity Type:Individual
Prefix:
First Name:CHAYA
Middle Name:L
Last Name:LEFKOWITZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 61ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2218
Mailing Address - Country:US
Mailing Address - Phone:718-232-0138
Mailing Address - Fax:
Practice Address - Street 1:1774 58TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2249
Practice Address - Country:US
Practice Address - Phone:718-234-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist