Healthcare Provider Details
I. General information
NPI: 1437227659
Provider Name (Legal Business Name): LEON COHEN LEVY AND LEVIN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2006
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3525 PRYTANIA ST SUITE 506
NEW ORLEANS LA
70115-3500
US
IV. Provider business mailing address
3525 PRYTANIA ST SUITE 506
NEW ORLEANS LA
70115-3500
US
V. Phone/Fax
- Phone: 504-891-5857
- Fax: 504-897-8634
- Phone: 504-891-5857
- Fax: 504-897-8634
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALAN
LOUIS
LEVIN
Title or Position: PRACTITIONER
Credential: M.D.
Phone: 504-891-5857