MEDICARE: DR. ARNOLD MARC LEVENTHAL M.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	208800000X	Urology Physician	163284	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	340003821	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	37F121	OTHER	NY	BLUE CROSS

General Provider Information

NPI Number	:	1801893185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNOLD MARC LEVENTHAL M.D.

Provider Business Mailing Address
First Line	:	280 BREEZYWAY
Second Line	:
City	:	LAWRENCE
State	:	NY
Zip	:	11559-2105
Country	:	US
Telephone Number	:	516-592-2380
Fax Number	:	516-374-4198

Provider Business Practice Location Address
First Line	:	280 BREEZYWAY
Second Line	:
City	:	LAWRENCE
State	:	NY
Zip	:	11559-2105
Country	:	US
Telephone Number	:	516-592-2380
Fax Number	:	516-374-4198

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	07/21/2022

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