Provider Demographics
NPI:1245394915
Name:LEVY, ALAN STUART (DC)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:STUART
Last Name:LEVY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 BROADWAY
Mailing Address - Street 2:8TH FLOOR #14
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-8013
Mailing Address - Country:US
Mailing Address - Phone:212-633-2323
Mailing Address - Fax:212-620-5752
Practice Address - Street 1:920 BROADWAY
Practice Address - Street 2:8TH FLOOR #14
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8013
Practice Address - Country:US
Practice Address - Phone:212-633-2323
Practice Address - Fax:212-620-5752
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0038641111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC038648WOtherWORKERS COMPENSATION
NYC038648WOtherWORKERS COMPENSATION