Levy, Jay Richard

Levy, Jay Richard is an individual health care provider with primary practice located at 120 E Washington St Ste 308, Syracuse NY 13202-4007. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Levy, Jay Richard can be contacted via phone (315) 422-0453.

Contact Information

Primary practice address
120 E Washington St Ste 308 Syracuse NY 13202-4007
Phone: (315) 422-0453
Fax: (315) 638-2034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N0023131 New York

Profile Details

NPI number 1376646331
LBN Legal business name Levy, Jay Richard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated May 5th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376646331 NPPES
New York MEDICAID 02662673
New York Other C32925B
New York Other P3026

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