Individual
LEVI LAVIANLIVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4000
Mailing address
1240 E 19TH ST, BROOKLYN, NY 11230-5404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
RT009089
NY
Other
Enumeration date
12/26/2019
Last updated
06/29/2025
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