Provider Demographics
NPI:1942294350
Name:LEVEY, KENNETH (MD)
Entity Type:Individual
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First Name:KENNETH
Middle Name:
Last Name:LEVEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:90 MAIDEN LN
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4831
Mailing Address - Country:US
Mailing Address - Phone:646-290-9560
Mailing Address - Fax:212-532-4362
Practice Address - Street 1:90 MAIDEN LN
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4831
Practice Address - Country:US
Practice Address - Phone:646-290-9560
Practice Address - Fax:212-532-4362
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2015-10-27
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Provider Licenses
StateLicense IDTaxonomies
NY220289207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH89785Medicare UPIN