Provider Demographics
| NPI: | 1669764411 |
|---|---|
| Name: | LEVI H. LEHV, M.D.LLC |
| Entity type: | Organization |
| Organization Name: | LEVI H. LEHV, M.D.LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | LEVI |
| Authorized Official - Middle Name: | H |
| Authorized Official - Last Name: | LEHV |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 845-426-5171 |
| Mailing Address - Street 1: | 1 HILLTOP PL |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MONSEY |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 10952-2404 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 845-426-5171 |
| Mailing Address - Fax: | 845-290-1966 |
| Practice Address - Street 1: | 2080 BRIDGEPORT AVE |
| Practice Address - Street 2: | SUITE A |
| Practice Address - City: | MILFORD |
| Practice Address - State: | CT |
| Practice Address - Zip Code: | 06460-4647 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 203-877-7246 |
| Practice Address - Fax: | 203-713-8026 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2011-05-12 |
| Last Update Date: | 2011-05-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CT | 049697 | 207R00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Single Specialty |