Individual
DR. LAURA BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1230, NEW YORK, NY 10029-6504
(212) 241-6383
Mailing address
1 GUSTAVE L LEVY PL, BOX 1230, NEW YORK, NY 10029-6504
(212) 241-6383
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
281466
NY
Other
Enumeration date
06/05/2012
Last updated
06/28/2017
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