Healthcare Provider Details

I. General information

NPI: 1205330859
Provider Name (Legal Business Name): EMILY LEVEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 98TH ST FL 12
NEW YORK NY
10029-6501
US

IV. Provider business mailing address

1 GUSTAVE L LEVY PL # 1104
NEW YORK NY
10029-6504
US

V. Phone/Fax

Practice location:
  • Phone: 212-659-8035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number303657
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number303657
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: