Individual
BRENDA H LAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1155 PARK AVE, NEW YORK, NY 10128
(917) 239-4147
Mailing address
31 MERRICK AVE, SUITE 110, MERRICK, NY 11566
(516) 379-7100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0102121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068423
VALUE OPTIONS
NY
01
—
6800205
GHI
NY
01
—
AB00778
MDNY
NY
01
—
P441747
OXFORD
NY
01
—
P83405683
MULTIPLAN
NY
Enumeration date
02/26/2007
Last updated
07/08/2007
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