Healthcare Provider Details

I. General information

NPI: 1639129018
Provider Name (Legal Business Name): DAVID ROBERT LEVY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2094 ALBANY POST RD VA HOSPITAL
MONTROSE NY
10548-1454
US

IV. Provider business mailing address

PO BOX 100 VA HOSPITAL
MONTROSE NY
10548-0100
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-4400
  • Fax: 914-788-4285
Mailing address:
  • Phone: 914-737-4400
  • Fax: 914-788-4285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number187326
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: