Provider Demographics
NPI:1386850857
Name:LEBOVITZ, HAROLD EMIL (MD)
Entity Type:Individual
Prefix:PROF
First Name:HAROLD
Middle Name:EMIL
Last Name:LEBOVITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:PROF
Other - First Name:HAROLD
Other - Middle Name:EMIL
Other - Last Name:LEBOVITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:416 HENDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1617
Mailing Address - Country:US
Mailing Address - Phone:718-816-4638
Mailing Address - Fax:718-447-1558
Practice Address - Street 1:416 HENDERSON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1617
Practice Address - Country:US
Practice Address - Phone:718-816-4638
Practice Address - Fax:718-447-1558
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149891207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism