MEDICARE: DAVID LOVI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	P116906	NY

General Provider Information

NPI Number	:	1912624727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LOVI

Provider Business Mailing Address
First Line	:	1246 38TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-1929
Country	:	US
Telephone Number	:	347-675-4073
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3243
Country	:	US
Telephone Number	:	347-352-6610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	10/24/2022

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Directions to “ DAVID LOVI ” Practice Location

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