Provider Demographics
NPI:1902974280
Name:LEVY, NATALIE KOCH (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:KOCH
Last Name:LEVY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:JOY
Other - Last Name:KOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:462 1ST AVE
Mailing Address - Street 2:AREA 2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-562-2359
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:16 NORTH 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-2359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215531207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH39692Medicare UPIN