Provider Demographics
NPI:1346355625
Name:LOEWY-VUKIC, ELIZABETH JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JOY
Last Name:LOEWY-VUKIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 W END AVE APT 1H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5602
Mailing Address - Country:US
Mailing Address - Phone:212-663-9010
Mailing Address - Fax:212-663-9040
Practice Address - Street 1:160 W END AVE APT 1H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5602
Practice Address - Country:US
Practice Address - Phone:212-663-9010
Practice Address - Fax:212-663-9040
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214544-12080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH63837Medicare UPIN
5B4931Medicare ID - Type Unspecified