Levy, Mark R

Levy, Mark R is an individual health care provider with primary practice located at 2312 15Th St , Troy NY 12180-2306. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Levy, Mark R can be contacted via phone (518) 274-3390.

Contact Information

Primary practice address
2312 15Th St Troy NY 12180-2306
Fax: (518) 274-3398
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 091450-1 New York

Profile Details

NPI number 1356305668
LBN Legal business name Levy, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - 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 1356305668 NPPES
New York MEDICAID 00514847

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