Provider Demographics
NPI:1285653832
Name:LEBOWITZ, RICHARD ADAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ADAM
Last Name:LEBOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:530 1ST AVE
Mailing Address - Street 2:SUITE 3C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-7022
Mailing Address - Fax:212-263-2334
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 3C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-7022
Practice Address - Fax:212-263-2334
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2021-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY180825207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF88036Medicare UPIN
NY32J571Medicare ID - Type Unspecified