MEDICARE: ELIZABETH LEVY M.S.

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	235Z00000X	Speech-Language Pathologist	993289151	NY

General Provider Information

NPI Number	:	1275994386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH LEVY M.S.

Provider Business Mailing Address
First Line	:	303 E 83RD ST
Second Line	:	APT 9G
City	:	NEW YORK
State	:	NY
Zip	:	10028-4318
Country	:	US
Telephone Number	:	513-515-5441
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 E 83RD ST
Second Line	:	APT 9G
City	:	NEW YORK
State	:	NY
Zip	:	10028-4318
Country	:	US
Telephone Number	:	513-515-5441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2016
Last Update Date	:	03/16/2016

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Directions to “ ELIZABETH LEVY M.S.” Practice Location

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