Provider Demographics
NPI:1144325978
Name:LEFKOWITZ, HARVEY (MD)
Entity type:Individual
Prefix:
First Name:HARVEY
Middle Name:
Last Name:LEFKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 N BROADWAY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1303
Mailing Address - Country:US
Mailing Address - Phone:914-969-1818
Mailing Address - Fax:914-969-0828
Practice Address - Street 1:1034 N BROADWAY
Practice Address - Street 2:SUITE 5
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1303
Practice Address - Country:US
Practice Address - Phone:914-969-1818
Practice Address - Fax:914-969-0828
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1061402085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00186118Medicaid
NYB79002Medicare UPIN
NY00186118Medicaid