MEDICARE: CELIA S LEVITZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	76158	MA

General Provider Information

NPI Number	:	1134154271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELIA S LEVITZ M.D.

Provider Business Mailing Address
First Line	:	71 KENSINGTON RD
Second Line	:
City	:	BRONXVILLE
State	:	NY
Zip	:	10708-1406
Country	:	US
Telephone Number	:	212-544-3171
Fax Number	:

Provider Business Practice Location Address
First Line	:	3961 10TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-1854
Country	:	US
Telephone Number	:	212-544-3171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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