Provider Demographics
NPI:1013990936
Name:LEBOVITS, DANIEL (RPA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:LEBOVITS
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:200 CENTRAL PARK S
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1436
Mailing Address - Country:US
Mailing Address - Phone:212-262-2500
Mailing Address - Fax:212-246-0890
Practice Address - Street 1:137 NW 100TH AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7034
Practice Address - Country:US
Practice Address - Phone:954-577-5161
Practice Address - Fax:954-577-5191
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2023-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9114573363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02803092Medicaid
NYQ20756Medicare UPIN
NY5554L1Medicare PIN