Provider Demographics
NPI:1275512758
Name:LUVIN, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:LUVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 N CENTRE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3923
Mailing Address - Country:US
Mailing Address - Phone:516-764-7246
Mailing Address - Fax:516-678-3525
Practice Address - Street 1:77 N CENTRE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3923
Practice Address - Country:US
Practice Address - Phone:516-764-7246
Practice Address - Fax:516-678-3525
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165779-1207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
4228750OtherAETNA PPO
150174OtherVYTRA
97B341OtherBCBS & SENIOR PLAN
CM0035OtherRAILROAD MEDICARE
P2084603OtherOXFORD
8799820OtherGHI PPO
87249OtherGHI HMO
NY01163991Medicaid
7772066OtherCIGNA
7772066OtherCIGNA
NY01163991Medicaid