Provider Demographics
NPI:1629247630
Name:BIZETA, LAVINIA ALINA (MD)
Entity Type:Individual
Prefix:MS
First Name:LAVINIA
Middle Name:ALINA
Last Name:BIZETA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:STATE UNIVERSITY OF NEW YORK AT STONY BROOK
Mailing Address - Street 2:HSC T-10, ROOM 020
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8101
Mailing Address - Country:US
Mailing Address - Phone:631-444-3005
Mailing Address - Fax:631-444-7534
Practice Address - Street 1:STATE UNIVERSITY OF NEW YORK AT STONY BROOK
Practice Address - Street 2:HSC T-10, ROOM 020
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8101
Practice Address - Country:US
Practice Address - Phone:631-444-3005
Practice Address - Fax:631-444-7534
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-23
Last Update Date:2008-02-23
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Provider Licenses
StateLicense IDTaxonomies
NY2475872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry