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NPI Code Detail

MEDICARE: DR. MARK A LEVY M.D.

MEDICARE: DR. MARK A LEVY 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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician267092NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861462954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK A LEVY M.D.
Provider Business Mailing Address
First Line : 120 W 106TH ST
Second Line : KAUFMAN 1E
City : NEW YORK
State : NY
Zip : 10025-3923
Country : US
Telephone Number : 212-870-4708
Fax Number :
Provider Business Practice Location Address
First Line : 120 W 106TH ST
Second Line : KAUFMAN 1E
City : NEW YORK
State : NY
Zip : 10025-3923
Country : US
Telephone Number : 212-870-4708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 01/22/2013

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Directions to “ DR. MARK A LEVY M.D.” Practice Location

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