Provider Demographics
NPI:1558406215
Name:LEVADA, MARIA E (MD, FACOG)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:E
Last Name:LEVADA
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Gender:F
Credentials:MD, FACOG
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Mailing Address - Street 1:20 W LINCOLN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5730
Mailing Address - Country:US
Mailing Address - Phone:516-825-1885
Mailing Address - Fax:516-568-0356
Practice Address - Street 1:20 W LINCOLN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5730
Practice Address - Country:US
Practice Address - Phone:516-825-1885
Practice Address - Fax:516-568-0356
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2023-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY125595207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEQ931Medicare UPIN