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NPI Code Detail

MEDICARE: JONATHAN M. LEVY, DPM, PC

MEDICARE: JONATHAN M. LEVY, DPM, PC
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
1213ES0131XFoot Surgery Podiatrist003732NY
2213E00000XPodiatrist003732NY
3213ER0200XRadiology Podiatrist003732NY
4213ES0000XSports Medicine Podiatrist003732NY
5213EP1101XPrimary Podiatric Medicine Podiatrist003732NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00345607OTHERNYRAILROAD MEDICARE

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 : 1972556132
Entity Type Code : Organization
Provider Name (Legal Business Name) : JONATHAN M. LEVY, DPM, PC
Provider Business Mailing Address
First Line : 120 E 56TH ST
Second Line : SUITE 940
City : NEW YORK
State : NY
Zip : 10022-3607
Country : US
Telephone Number : 212-980-6487
Fax Number : 212-980-8685
Provider Business Practice Location Address
First Line : 120 E 56TH ST
Second Line : SUITE 940
City : NEW YORK
State : NY
Zip : 10022-3607
Country : US
Telephone Number : 212-980-6487
Fax Number : 212-980-8685
Authorized Official
Title or Position : PRESIDENT
Name : JONATHAN MARC LEVY
Credential : DPM
Telephone Number : 212-980-6487
Provider Enumeration Date : 05/18/2006
Last Update Date : 10/10/2018

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