Provider Demographics
NPI:1609132893
Name:LEVITAN, VALERIYA (MD)
Entity Type:Individual
Prefix:
First Name:VALERIYA
Middle Name:
Last Name:LEVITAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VALERIYA
Other - Middle Name:
Other - Last Name:BOBR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:240 E 38TH ST FL 20
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2708
Mailing Address - Country:US
Mailing Address - Phone:212-263-7744
Mailing Address - Fax:
Practice Address - Street 1:240 E 38TH ST FL 20
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2708
Practice Address - Country:US
Practice Address - Phone:212-263-7744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2847142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology