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NPI Code Detail

MEDICARE: ESTHER LEBOVIC FNP, PMHNP

MEDICARE: ESTHER LEBOVIC FNP, PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner403358NY
2363LF0000XFamily Nurse Practitioner33339379NY

General Provider Information

NPI Number : 1720479058
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER LEBOVIC FNP, PMHNP
Provider Business Mailing Address
First Line : 180 HARBORVIEW N
Second Line :
City : LAWRENCE
State : NY
Zip : 11559-1904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1072 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10456-3901
Country : US
Telephone Number : 718-681-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2015
Last Update Date : 09/02/2021

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