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Mr. Idan Yehezkel Lavian, DDS
Student in an Organized Health Care Education/Training Program in White Plains, New York
NPI 1508508540

Idan Yehezkel Lavian is a Student in an Organized Health Care Education/Training Program based in Bronx, NY. Idan Yehezkel Lavian practices in White Plains, NY and has the professional credentials of DDS. The NPI Number for Idan Yehezkel Lavian is 1508508540 and holds a License No. (New York).

The current practice location address for Idan Yehezkel Lavian is 19 South Broadway, White Plains, NY and can be reached out via phone at 914-948-0088.

Location: 19 South Broadway, White Plains, NY, 10463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508508540
Provider Name
Idan Yehezkel Lavian
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
19 South Broadway, White Plains, NY, 10463
Phone Number
914-948-0088
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19 South Broadway
City
White Plains
State
New York
Zip
10601
Phone Number
914-948-0088
Fax Number
person
Provider Business Mailing Address Details
Address
19 South Broadway
City
White Plains
State
New York
Zip
10601
Phone Number
914-948-0088
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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