Provider Demographics
NPI:1912182585
Name:JULIAN HERSKOWITZ AND STEVEN LEFKOWITZ, PH.D.
Entity Type:Organization
Organization Name:JULIAN HERSKOWITZ AND STEVEN LEFKOWITZ, PH.D.
Other - Org Name:TERRAP PSYCHOLOGICAL ASSOC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:631-549-8867
Mailing Address - Street 1:775 PARK AVE
Mailing Address - Street 2:155
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3976
Mailing Address - Country:US
Mailing Address - Phone:631-549-8867
Mailing Address - Fax:631-423-8446
Practice Address - Street 1:775 PARK AVE
Practice Address - Street 2:155
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3976
Practice Address - Country:US
Practice Address - Phone:631-549-8867
Practice Address - Fax:631-423-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006675103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty