Individual
JANE LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 W 18TH ST, 6C, NEW YORK, NY 10011-4667
(914) 490-0956
Mailing address
30 W 18TH ST, 6C, NEW YORK, NY 10011-4667
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
021055
NY
Other
Enumeration date
01/09/2015
Last updated
11/22/2016
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