MEDICARE: MR. GREGORY NATHAN LEVISON RPH

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	183500000X	Pharmacist	50876	NY

General Provider Information

NPI Number	:	1194378513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GREGORY NATHAN LEVISON RPH

Provider Business Mailing Address
First Line	:	45 OCEAN AVE UNIT 5E
Second Line	:
City	:	MONMOUTH BEACH
State	:	NJ
Zip	:	07750-1304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 HAMILTON PL
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10031-6801
Country	:	US
Telephone Number	:	212-281-7121
Fax Number	:

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

Provider Enumeration Date	:	07/24/2019
Last Update Date	:	12/27/2022

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