Provider Demographics
NPI:1144893231
Name:LEBOWITZ, ERIC JOSEPH (LCAT, MT-BC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:JOSEPH
Last Name:LEBOWITZ
Suffix:
Gender:M
Credentials:LCAT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WESTVIEW AVE APT 17-2
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3552
Mailing Address - Country:US
Mailing Address - Phone:914-999-0469
Mailing Address - Fax:
Practice Address - Street 1:11 WESTVIEW AVE APT 17-2
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-3552
Practice Address - Country:US
Practice Address - Phone:914-999-0469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12880225A00000X
NY002232-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist