National Provider Identifier
Philip R Lavine, MD
Philip R Lavine, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Rochester, NY and a listed phone number of (585) 424-6460.
Profile Overview
- NPI
- 1851463491
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- November 15, 2006
- Last Updated
- July 08, 2007
Practice Location
- 211 C White Spruce Blvd
- Rochester, NY 14623-1608
Phone: (585) 424-6460
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1851463491
- Entity Type
- Individual
- Last Name
- Lavine
- First Name
- Philip
- Middle Name
- R
- Credential
- MD
- Mailing Street Address
- 211 C White Spruce Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-1608
- Mailing Country
- US
- Mailing Phone
- (585) 424-6460
- Mailing Fax
- (585) 424-5434
- Practice Street Address
- 211 C White Spruce Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-1608
- Practice Country
- US
- Practice Phone
- (585) 424-6460
- Practice Fax
- (585) 424-5434
- Enumeration Date
- November 15, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)
- Other Identifiers
- 11123213 (Caqh)