Physician Compare National (NPI:1376646331)

HEALTHCARE PROVIDER: JAY RICHARD LEVY DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1376646331
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153421862
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070711000093
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEVY
	Individual professional last name
Provider First Name	JAY
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	120 E WASHINGTON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 308
	Group Practice or individual's line 2 address
City	SYRACUSE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	132024007
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3154220453
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y