MEDICARE: DANIEL HALEVY 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	207RN0300X	Nephrology Physician	MA72049	NJ

General Provider Information

NPI Number	:	1700889250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL HALEVY MD

Provider Business Mailing Address
First Line	:	100 CHURCH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-2601
Country	:	US
Telephone Number	:	646-856-1181
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CHURCH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-2601
Country	:	US
Telephone Number	:	646-856-1181
Fax Number	:

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/03/2021

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