Provider Demographics
NPI:1518024678
Name:LEV, ERAN (MD)
Entity type:Individual
Prefix:DR
First Name:ERAN
Middle Name:
Last Name:LEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W 56TH ST APT 4403
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3845
Mailing Address - Country:US
Mailing Address - Phone:718-222-5999
Mailing Address - Fax:
Practice Address - Street 1:150 W 56TH ST APT 4403
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3845
Practice Address - Country:US
Practice Address - Phone:646-752-3584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224833-1207L00000X
NY2248332085R0204X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology