Individual
GARY LEFKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 W MERRICK RD, FREEPORT, NY 11520-3743
(516) 867-0102
Mailing address
155 W MERRICK RD, FREEPORT, NY 11520-3743
(516) 867-0102
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
211674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02470822
—
NY
01
—
P00194128
PALMETTO/GBA RAILROAD MED
—
Enumeration date
06/15/2006
Last updated
05/02/2012
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