Provider Demographics
NPI:1831364496
Name:LEFKOWITZ, ALAN (CSW)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:LEFKOWITZ
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E 10TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-5045
Mailing Address - Country:US
Mailing Address - Phone:212-799-4220
Mailing Address - Fax:
Practice Address - Street 1:80 5TH AVE RM 1001
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8017
Practice Address - Country:US
Practice Address - Phone:212-799-4220
Practice Address - Fax:646-602-9675
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC035871041C0700X
NYPR013549-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN06891Medicare PIN