Lavine, Sean David
Lavine, Sean David is an sole proprietor health care provider with primary practice located at 710 W 168Th St Ni-424, New York NY 10032-3726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Lavine, Sean David can be contacted via phone (212) 305-0135.Contact Information
Primary practice address
710 W 168Th St Ni-424
New York NY 10032-3726
Phone: (212) 305-0135
Fax: (212) 305-3629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 223585 | New York |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 223585 | New York |
Profile Details
| NPI number | 1386797868 |
|---|---|
| LBN Legal business name | Lavine, Sean David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Nov 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386797868 | NPPES |
| New York | MEDICAID | 02255365 |
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