MEDICARE: LAUREN PAIGE MENDELSOHN-LEVIN M.D.

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	208000000X	Pediatrics Physician	60 248690	NY

General Provider Information

NPI Number	:	1609000595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN PAIGE MENDELSOHN-LEVIN M.D.

Provider Business Mailing Address
First Line	:	25 VALLEY DRIVE
Second Line	:
City	:	GREENWICH
State	:	CT
Zip	:	06831
Country	:	US
Telephone Number	:	203-622-4301
Fax Number	:	203-622-6343

Provider Business Practice Location Address
First Line	:	25 VALLEY DR
Second Line	:
City	:	GREENWICH
State	:	CT
Zip	:	06831-5203
Country	:	US
Telephone Number	:	203-622-4301
Fax Number	:	203-622-6343

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

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	06/05/2009

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