Provider Demographics
NPI:1700844826
Name:LEVY, SANFORD H (MD)
Entity Type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:H
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3685 HARLEM RD STE 103
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-2046
Mailing Address - Country:US
Mailing Address - Phone:716-867-4114
Mailing Address - Fax:716-235-2617
Practice Address - Street 1:3685 HARLEM RD # 103
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-2046
Practice Address - Country:US
Practice Address - Phone:716-867-4114
Practice Address - Fax:716-235-2617
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172020-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161000580OtherEMPIRE
NY161000580OtherAETNA
NY172020-0BOtherWORKERS COMPENSATION
NY000511115004OtherHEALTH NOW
NY0406590OtherIHA
NY110174819OtherRR MEDICARE
NY161000580OtherEMPIRE
NY172020-0BOtherWORKERS COMPENSATION
NY00010103601OtherUNIVERA
NY000511115004OtherHEALTH NOW
NY161000580OtherNORTH AMERICAN PREFERRED