Provider Demographics
NPI:1356582365
Name:LEVSKY, JEFFREY MICHAEL (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MICHAEL
Last Name:LEVSKY
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:111 E 210TH ST
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2401
Mailing Address - Country:US
Mailing Address - Phone:718-920-5506
Mailing Address - Fax:718-920-4854
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-920-5506
Practice Address - Fax:718-920-4854
Is Sole Proprietor?:No
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2522322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology