Provider Demographics
NPI:1205815131
Name:LEVAT, JAY M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:M
Last Name:LEVAT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:3020 WESTCHESTER AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2510
Practice Address - Country:US
Practice Address - Phone:914-253-6464
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2013-10-16
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Provider Licenses
StateLicense IDTaxonomies
NY155530207R00000X
CT037457207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133884168OtherBEECH STREET
NY4247752OtherAETNA NON HMO
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY0926065-011OtherCIGNA PCP
NY43D941/43D942OtherBLUE CROSS HMO/SENIOR