Provider Demographics
NPI:1669472403
Name:LEVINSON, WILLIAM M (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:LEVINSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:503 GRASSLANDS RD
Mailing Address - Street 2:STE 200
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1503
Mailing Address - Country:US
Mailing Address - Phone:914-304-5250
Mailing Address - Fax:914-345-1752
Practice Address - Street 1:503 GRASSLANDS RD
Practice Address - Street 2:STE. 200
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1503
Practice Address - Country:US
Practice Address - Phone:914-304-5250
Practice Address - Fax:914-345-1752
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2015-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1313762080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400021451OtherMEDICARE PTAN
NY01071838Medicaid
NY24E221Medicare PIN