Provider Demographics
NPI:1770770448
Name:LEVY, DAVID E (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:LEVY
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 1:622 GREENWICH ST
Mailing Address - Street 2:APT. 4-F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3305
Mailing Address - Country:US
Mailing Address - Phone:212-691-5288
Mailing Address - Fax:212-691-5180
Practice Address - Street 1:622 GREENWICH ST
Practice Address - Street 2:APT. 4-F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3305
Practice Address - Country:US
Practice Address - Phone:212-691-5288
Practice Address - Fax:212-691-5180
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1044212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology