MEDICARE: DANIEL E. LEVY M.D.,P.C.

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	207RC0000X	Cardiovascular Disease Physician	184268-1	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	:	1881643781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL E. LEVY M.D.,P.C.

Provider Business Mailing Address
First Line	:	788 FRANKLIN AVE
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-1502
Country	:	US
Telephone Number	:	516-561-7500
Fax Number	:	516-561-7515

Provider Business Practice Location Address
First Line	:	788 FRANKLIN AVE
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-1502
Country	:	US
Telephone Number	:	516-561-7500
Fax Number	:	516-561-7515

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL E. LEVY
Credential	:	M.D.
Telephone Number	:	516-561-7500

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/22/2020

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