Provider Demographics
NPI:1114027182
Name:LEVI, URIEL NATHAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:URIEL
Middle Name:NATHAN
Last Name:LEVI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138-76 QUEENS BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2930
Mailing Address - Country:US
Mailing Address - Phone:718-245-6256
Mailing Address - Fax:718-559-4895
Practice Address - Street 1:1388 E 14TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5902
Practice Address - Country:US
Practice Address - Phone:718-245-6256
Practice Address - Fax:718-382-2293
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004931213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01296359Medicaid
NY16-1617932OtherTAX ID
NY16-1617932OtherTAX ID
NYP54372Medicare ID - Type Unspecified
U34504Medicare UPIN