Healthcare Provider Details

I. General information

NPI: 1184243701
Provider Name (Legal Business Name): JOSEPH ZACHARY LEBOWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 NICOLLS RD
STONY BROOK NY
11794-8191
US

IV. Provider business mailing address

101 NICOLLS RD
STONY BROOK NY
11794-8191
US

V. Phone/Fax

Practice location:
  • Phone: 631-444-2034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2025-02203
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: