MEDICARE: YAKOV LEVY MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0000X	Obstetrics Physician	226066	NY

General Provider Information

NPI Number	:	1124204490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAKOV LEVY MD PC

Provider Business Mailing Address
First Line	:	6561 SAUNDERS ST
Second Line	:	SUITE 2B
City	:	REGO PARK
State	:	NY
Zip	:	11374-4252
Country	:	US
Telephone Number	:	718-416-4389
Fax Number	:	718-416-3652

Provider Business Practice Location Address
First Line	:	70-31A 108TH STREET
Second Line	:	SUITE 4
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-0000
Country	:	US
Telephone Number	:	718-520-8700
Fax Number	:	718-520-8050

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. YAKOV LEVY
Credential	:	MD
Telephone Number	:	718-520-8700

Provider Enumeration Date	:	01/16/2008
Last Update Date	:	07/06/2023

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