Provider Demographics
NPI:1376748186
Name:LEFKOWITZ, AMANDA EVE-STEVENSON (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:EVE-STEVENSON
Last Name:LEFKOWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:EVE
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:107 NORTHERN BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4309
Mailing Address - Country:US
Mailing Address - Phone:516-487-6565
Mailing Address - Fax:516-487-3057
Practice Address - Street 1:107 NORTHERN BLVD.
Practice Address - Street 2:SUITE 201
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4309
Practice Address - Country:US
Practice Address - Phone:516-487-6565
Practice Address - Fax:516-487-3057
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045492208000000X
NY249318208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics