Provider Demographics
NPI:1770647703
Name:ALAN LEFKOWITZ & BEVERLY LEFKOWITZ, MSW'S
Entity Type:Organization
Organization Name:ALAN LEFKOWITZ & BEVERLY LEFKOWITZ, MSW'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:212-799-4220
Mailing Address - Street 1:125 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3278
Mailing Address - Country:US
Mailing Address - Phone:212-799-4220
Mailing Address - Fax:646-602-9676
Practice Address - Street 1:125 W 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3278
Practice Address - Country:US
Practice Address - Phone:212-799-4220
Practice Address - Fax:646-602-9676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR013549-11041C0700X
NJSC0035871041C0700X
NYR013550-11041C0700X
NJSC0036741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN06891Medicare ID - Type UnspecifiedLCSW
NYN617S1Medicare ID - Type UnspecifiedLCSW