Most Relevant Information
Provider Data
| NPI Number: | 1003012394 |
| Provider Name: | LUIS LAVIENA PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TB0200X |
| Specialty: | Psychologist |
| License Number: | 12787 |
Most Important Dates
| Enumeration Date: | 06/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
201 E 28TH ST APT 4K
NEW YORK
NY
100168538
Practice Location Phone/Fax
| Phone: | 2122520396 |
| Fax: | 2126793015 |
Provider Mailing Location
201 E 28TH ST APT 4K
4L
NEW YORK
NY
100168538
Provider Mailing Phone/Fax
| Phone: | 2122520396 |
| Fax: | 2126793015 |