Provider Demographics
NPI:1326235771
Name:NACHUM LEVIN MD PC
Entity Type:Organization
Organization Name:NACHUM LEVIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:NACHUM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-648-5622
Mailing Address - Street 1:153 BAY 26 STREET
Mailing Address - Street 2:SUITE1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214
Mailing Address - Country:US
Mailing Address - Phone:718-648-5622
Mailing Address - Fax:718-759-6230
Practice Address - Street 1:120 E 81ST ST
Practice Address - Street 2:SUITE 14C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1428
Practice Address - Country:US
Practice Address - Phone:718-648-5622
Practice Address - Fax:718-759-6230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195012174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01527944Medicaid
NY01527944Medicaid
NYF79546Medicare UPIN