Provider Demographics
NPI: | 1669764411 |
---|---|
Name: | LEVI H. LEHV, M.D.LLC |
Entity type: | Organization |
Organization Name: | LEVI H. LEHV, M.D.LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | LEVI |
Authorized Official - Middle Name: | H |
Authorized Official - Last Name: | LEHV |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 845-426-5171 |
Mailing Address - Street 1: | 1 HILLTOP PL |
Mailing Address - Street 2: | |
Mailing Address - City: | MONSEY |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10952-2404 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 845-426-5171 |
Mailing Address - Fax: | 845-290-1966 |
Practice Address - Street 1: | 2080 BRIDGEPORT AVE |
Practice Address - Street 2: | SUITE A |
Practice Address - City: | MILFORD |
Practice Address - State: | CT |
Practice Address - Zip Code: | 06460-4647 |
Practice Address - Country: | US |
Practice Address - Phone: | 203-877-7246 |
Practice Address - Fax: | 203-713-8026 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-05-12 |
Last Update Date: | 2011-05-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CT | 049697 | 207R00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Single Specialty |