Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 226066 | NY |
NPI | 1154481885 |
---|---|
Provider Name | Dr. Yakov Levy |
First Address | Rego Park, NY 11374-4252 |
Second Address | Forest Hills, NY 11375 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 21/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02349186 | (05) | NY |