Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 178748 | NY |
N | 208000000X | Pediatrician | 178748 | NY |
NPI | 1356429518 |
---|---|
Provider Name | Paul A Levy |
First Address | Bronx, NY 10467-2403 |
Second Address | Bronx, NY 10467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/08/2008 |