Provider Demographics
NPI:1851528434
Name:RONALD LEV MD, PC
Entity Type:Organization
Organization Name:RONALD LEV MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-752-3584
Mailing Address - Street 1:150 W 56TH ST
Mailing Address - Street 2:SUITE #4403
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3822
Mailing Address - Country:US
Mailing Address - Phone:646-752-3584
Mailing Address - Fax:
Practice Address - Street 1:150 W 56TH ST
Practice Address - Street 2:SUITE #4403
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3822
Practice Address - Country:US
Practice Address - Phone:646-752-3584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty