MEDICARE: DR. VICTORIA R. LEVY AU.D.

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	231H00000X	Audiologist	003218-01	NY
2	237600000X	Audiologist-Hearing Aid Fitter	14000075357	NY

General Provider Information

NPI Number	:	1528723541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA R. LEVY AU.D.

Provider Business Mailing Address
First Line	:	14 COLUMBIA CIR STE 202
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12203-5163
Country	:	US
Telephone Number	:	518-690-2060
Fax Number	:	518-690-7111

Provider Business Practice Location Address
First Line	:	14 COLUMBIA CIR STE 202
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12203-5163
Country	:	US
Telephone Number	:	518-690-2060
Fax Number	:	518-690-7111

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

Provider Enumeration Date	:	11/04/2021
Last Update Date	:	08/19/2024

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