Healthcare Provider Details

I. General information

NPI: 1528723541
Provider Name (Legal Business Name): VICTORIA R. LEVY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 08/19/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 COLUMBIA CIR STE 202
ALBANY NY
12203-5163
US

IV. Provider business mailing address

14 COLUMBIA CIR STE 202
ALBANY NY
12203-5163
US

V. Phone/Fax

Practice location:
  • Phone: 518-690-2060
  • Fax: 518-690-7111
Mailing address:
  • Phone: 518-690-2060
  • Fax: 518-690-7111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number003218-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number14000075357
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: