Healthcare Provider Details

I. General information

NPI: 1851528434
Provider Name (Legal Business Name): RONALD LEV MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W 56TH ST SUITE #4403
NEW YORK NY
10019-3822
US

IV. Provider business mailing address

150 W 56TH ST SUITE #4403
NEW YORK NY
10019-3822
US

V. Phone/Fax

Practice location:
  • Phone: 646-752-3584
  • Fax:
Mailing address:
  • Phone: 646-752-3584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD LEV
Title or Position: OWNER
Credential: M.D.
Phone: 646-752-3584