Provider Demographics
NPI:1659539930
Name:LEVENTHAL, JEREMY SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:SETH
Last Name:LEVENTHAL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 1243
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6500
Mailing Address - Country:US
Mailing Address - Phone:212-241-8004
Mailing Address - Fax:212-987-0389
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-8004
Practice Address - Fax:212-987-0389
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2018-04-11
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Provider Licenses
StateLicense IDTaxonomies
NY240205207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology