Provider Demographics
NPI:1710107826
Name:LEVY, JAMEY B (MD)
Entity Type:Individual
Prefix:
First Name:JAMEY
Middle Name:B
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:211 E 43RD ST RM 1305
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4779
Mailing Address - Country:US
Mailing Address - Phone:347-719-1506
Mailing Address - Fax:347-708-9662
Practice Address - Street 1:211 E 43RD ST
Practice Address - Street 2:STE 2004
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4707
Practice Address - Country:US
Practice Address - Phone:347-719-1506
Practice Address - Fax:347-708-9662
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2018-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2527132084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry