Provider Demographics
NPI:1992378756
Name:LEFKOVITS, LEORA SARA
Entity Type:Individual
Prefix:
First Name:LEORA
Middle Name:SARA
Last Name:LEFKOVITS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEORA
Other - Middle Name:SARA
Other - Last Name:WOLKOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 W 93RD ST APT 10H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7394
Mailing Address - Country:US
Mailing Address - Phone:732-379-0846
Mailing Address - Fax:
Practice Address - Street 1:250 W 93RD ST APT 10H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7394
Practice Address - Country:US
Practice Address - Phone:732-379-0846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program