Provider Demographics
NPI:1376946038
Name:LAUREN LEVI, D.M.D., P.C.
Entity Type:Organization
Organization Name:LAUREN LEVI, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:516-317-1320
Mailing Address - Street 1:630 5TH AVE
Mailing Address - Street 2:SUITE 1857
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10111-0100
Mailing Address - Country:US
Mailing Address - Phone:212-265-0110
Mailing Address - Fax:212-265-1767
Practice Address - Street 1:630 5TH AVE
Practice Address - Street 2:SUITE 1857
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10111-0100
Practice Address - Country:US
Practice Address - Phone:212-265-0110
Practice Address - Fax:212-265-1767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty