Provider Demographics
NPI:1053163139
Name:MD LEVY MD PLLC
Entity type:Organization
Organization Name:MD LEVY MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARI
Authorized Official - Last Name:BURDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-276-2003
Mailing Address - Street 1:1 DEERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514
Mailing Address - Country:US
Mailing Address - Phone:973-818-5018
Mailing Address - Fax:914-276-2003
Practice Address - Street 1:356 ROUTE 202
Practice Address - Street 2:STE 201
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3207
Practice Address - Country:US
Practice Address - Phone:914-276-2003
Practice Address - Fax:914-276-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty