Healthcare Provider Details

I. General information

NPI: 1568675965
Provider Name (Legal Business Name): RON LEV, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 08/04/2008
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 SUITE #4403
NEW YORK NY
10019
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LH0002X
TaxonomyHospice and Palliative Medicine (Anesthesiology) Physician
License Number224833
License Number StateNY

VIII. Authorized Official

Name: DR. RON LEV
Title or Position: ANESTHESIA DIRECTOR
Credential: M.D.
Phone: 646-752-3584