Provider Demographics
NPI:1194875740
Name:LOTHANE, HENRY (M D)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:LOTHANE
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 LEXIGTON AVENUE
Mailing Address - Street 2:PENTTHOUSE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1625
Mailing Address - Country:US
Mailing Address - Phone:121-253-4555
Mailing Address - Fax:121-253-4555
Practice Address - Street 1:1435 LEXINGTON AVE
Practice Address - Street 2:PENTTHOUSE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1625
Practice Address - Country:US
Practice Address - Phone:121-253-4555
Practice Address - Fax:121-253-4555
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0954972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry