Provider Demographics
NPI:1891813747
Name:LEVY, BRIAN LEONARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:LEONARD
Last Name:LEVY
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 1:38-44 WARREN ST.
Mailing Address - Street 2:#8C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007
Mailing Address - Country:US
Mailing Address - Phone:212-748-1169
Mailing Address - Fax:212-748-1170
Practice Address - Street 1:38 WARREN ST
Practice Address - Street 2:#8C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1086
Practice Address - Country:US
Practice Address - Phone:212-748-1169
Practice Address - Fax:212-748-1170
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144615207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism