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NPI Code Detail

MEDICARE: JARED ROSS LEVY MD

MEDICARE: JARED ROSS LEVY MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1356284236
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED ROSS LEVY MD
Provider Business Mailing Address
First Line : 7 BROOKVILLE LN S
Second Line :
City : GLEN HEAD
State : NY
Zip : 11545-2322
Country : US
Telephone Number : 516-724-5355
Fax Number :
Provider Business Practice Location Address
First Line : 1901 1ST AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10029-7494
Country : US
Telephone Number : 184-469-2469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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