MEDICARE: MR. LEONARD L LEVITZ MD

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	207R00000X	Internal Medicine Physician	215862	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346277738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEONARD L LEVITZ MD

Provider Business Mailing Address
First Line	:	125 CIRCLE RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-1251
Country	:	US
Telephone Number	:	347-351-6653
Fax Number	:	718-980-7064

Provider Business Practice Location Address
First Line	:	321 EDISON STREET
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-3023
Country	:	US
Telephone Number	:	347-351-6653
Fax Number	:	718-980-7064

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	02/19/2026

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