Healthcare Provider Details

I. General information

NPI: 1265992853
Provider Name (Legal Business Name): ESTHER LEVY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ESTHER MANN DO

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVE
STATEN ISLAND NY
10305-3436
US

IV. Provider business mailing address

475 SEAVIEW AVE
STATEN ISLAND NY
10305-3436
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-6400
  • Fax:
Mailing address:
  • Phone: 718-226-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number343296
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number343296
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: