Healthcare Provider Details

I. General information

NPI: 1780862847
Provider Name (Legal Business Name): N. JUNE BOONYASAI LEHV DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 W 37TH ST
NEW YORK NY
10018-5705
US

IV. Provider business mailing address

239 E 79TH ST SUITE 7F
NEW YORK NY
10075-0810
US

V. Phone/Fax

Practice location:
  • Phone: 917-447-6300
  • Fax:
Mailing address:
  • Phone: 212-535-4844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number049232-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: