Levi, Michael Ira

Levi, Michael Ira is an sole proprietor health care provider with primary practice located at 1614 N James St , Rome NY 13440-2830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Levi, Michael Ira can be contacted via phone (315) 339-7411.

Contact Information

Primary practice address
1614 N James St Rome NY 13440-2830
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 217243 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 217243 New York

Profile Details

NPI number 1023277464
LBN Legal business name Levi, Michael Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Nov 11th, 2008 - about 16 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 1023277464 NPPES
New York MEDICAID 02086602

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