Provider Demographics
NPI:1518086883
Name:LEFKOWITZ, TODD ROSS (DO)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:ROSS
Last Name:LEFKOWITZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:263 7TH AVE.
Mailing Address - Street 2:SUITE 4D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3692
Mailing Address - Country:US
Mailing Address - Phone:718-369-2225
Mailing Address - Fax:718-246-8611
Practice Address - Street 1:263 7TH AVE.
Practice Address - Street 2:SUITE 4D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3692
Practice Address - Country:US
Practice Address - Phone:718-369-2225
Practice Address - Fax:718-246-8611
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY235820208100000X, 2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY121271Medicare PIN