Levy, Jerome H

Levy, Jerome H is an individual health care provider with primary practice located at 1101 Pelham Pkwy N , Bronx NY 10469-5411. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Levy, Jerome H can be contacted via phone (718) 519-1000.

Contact Information

Primary practice address
1101 Pelham Pkwy N Bronx NY 10469-5411
Fax: (718) 515-2616
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 098977-1 New York

Profile Details

NPI number 1710969746
LBN Legal business name Levy, Jerome H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Sep 28th, 2009 - about 17 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 1710969746 NPPES
New York MEDICAID 0168841

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