Levy, Jack
Levy, Jack is an sole proprietor health care provider with primary practice located at 12 West 21St Street 6Th Floor, New York NY 10010. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Levy, Jack can be contacted via phone (212) 343-2222.Contact Information
Primary practice address
12 West 21St Street 6Th Floor
New York NY 10010
Phone: (212) 343-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 309233-01 | New York |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA11062100 | New Jersey |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 25MA11062100 | New Jersey |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 309233-01 | New York |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 25MA11062100 | New Jersey |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 309233-01 | New York |
Profile Details
| NPI number | 1720512049 |
|---|---|
| LBN Legal business name | Levy, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2017 |
| Last updated | Oct 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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