Healthcare Provider Details

I. General information

NPI: 1235217332
Provider Name (Legal Business Name): PAUL J LEVY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PAUL J LEVY DPM PLLC

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 WALLACE AVENUE
BRONX NY
10467
US

IV. Provider business mailing address

30 ASH DR
ROSLYN NY
11576-2206
US

V. Phone/Fax

Practice location:
  • Phone: 718-231-2500
  • Fax: 718-231-3159
Mailing address:
  • Phone: 718-231-2500
  • Fax: 718-231-3159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberN0035811
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN0035811
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: