Individual
DR. MANOUCHEHR LAVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD LLC
Contact information
Practice address
129 WICKHAM AVE, MIDDLETOWN, NY 10940-3714
(845) 341-1805
(845) 342-9218
Mailing address
129 WICKHAM AVE, MIDDLETOWN, NY 10940-3714
(845) 341-1805
(845) 342-9218
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
163228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
998527
—
NY
Enumeration date
07/31/2006
Last updated
11/27/2023
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