Provider Demographics
NPI:1699385187
Name:LEVY, SYDNEY B (RD)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:B
Last Name:LEVY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:B
Other - Last Name:MONTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 WATER STREET
Mailing Address - Street 2:2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0010
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:215 WEST 125TH STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4426
Practice Address - Country:US
Practice Address - Phone:212-491-2400
Practice Address - Fax:212-491-2401
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-09
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered