MEDICARE: DR. JAN EVAN LEFKOWITZ D.C.

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	111N00000X	Chiropractor	X010193	NY

General Provider Information

NPI Number	:	1891834354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAN EVAN LEFKOWITZ D.C.

Provider Business Mailing Address
First Line	:	2 W 45TH ST STE 1002
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-4212
Country	:	US
Telephone Number	:	212-371-5788
Fax Number	:	212-697-2725

Provider Business Practice Location Address
First Line	:	2 W 45TH ST STE 1002
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-4212
Country	:	US
Telephone Number	:	212-371-5788
Fax Number	:	212-697-2725

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	01/10/2013

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