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NPI Code Detail

MEDICARE: SCOTT LEVITZ

MEDICARE:   SCOTT  LEVITZ
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1386041531
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT LEVITZ
Provider Business Mailing Address
First Line : 2735 SEDGWICK AVE
Second Line : 4E
City : BRONX
State : NY
Zip : 10468-3116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2735 SEDGWICK AVE
Second Line : 4E
City : BRONX
State : NY
Zip : 10468-3116
Country : US
Telephone Number : 203-506-4835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2014
Last Update Date : 07/23/2015

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Directions to “ SCOTT LEVITZ ” Practice Location

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