Provider Demographics
NPI:1275860561
Name:LEVINSON GAL, LAURA JANE (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:JANE
Last Name:LEVINSON GAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:15012 14TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1800
Mailing Address - Country:US
Mailing Address - Phone:718-767-7722
Mailing Address - Fax:718-747-1150
Practice Address - Street 1:3003 NEW HYDE PARK RD STE 307
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1214
Practice Address - Country:US
Practice Address - Phone:516-687-7337
Practice Address - Fax:516-560-0005
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-08
Last Update Date:2023-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY200416208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics