Provider Demographics
NPI:1871839993
Name:LEVIT, ROY (MD)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:
Last Name:LEVIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 5TH AVE
Mailing Address - Street 2:1-A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0130
Mailing Address - Country:US
Mailing Address - Phone:212-396-1967
Mailing Address - Fax:
Practice Address - Street 1:1010 5TH AVE
Practice Address - Street 2:1-A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0130
Practice Address - Country:US
Practice Address - Phone:212-396-1967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112875-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology