Individual
DR. SEAN DAVID LAVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 168TH ST, NI-424, NEW YORK, NY 10032-3726
(212) 305-0135
(212) 305-3629
Mailing address
710 W 168TH ST, NI-424, NEW YORK, NY 10032-3726
(212) 305-0135
(212) 305-3629
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
223585
NY
2085R0204X
Vascular & Interventional Radiology Physician
223585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02255365
—
NY
Enumeration date
01/19/2007
Last updated
11/08/2022
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