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General NPI Number Information
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NPI Number | 1396050175
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Entity Type | Organization
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Legal Business Name | MUNRO J LEVITZKY MD PC
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 161 MADISON AVE 6 WEST
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City | NEW YORK
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State | NY
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Zip | 10016-5421
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Country | US
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Telephone | 212-725-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 161 MADISON AVE 6 WEST
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City | NEW YORK
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State | NY
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Zip | 10016-5421
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Country | US
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Telephone | 212-725-5225
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUNRO JOSEPH LEVITZKY
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Credential | M.D.
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Telephone | 212-725-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 088144
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License Number State | NY
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