Provider Demographics
NPI:1750372702
Name:LEVY, LEWIS A (MD)
Entity type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:A
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:360 MERRICK RD FL 1
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2526
Mailing Address - Country:US
Mailing Address - Phone:516-887-3516
Mailing Address - Fax:516-887-0331
Practice Address - Street 1:360 MERRICK RD FL 1
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2526
Practice Address - Country:US
Practice Address - Phone:516-887-3516
Practice Address - Fax:516-887-0331
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1203792084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3099811OtherGHI PPO
NY120379OtherHIP
NY62259813OtherMULTIPLAN
NYNS0001848OtherSELECT PRO
NYAD00816OtherMDNY
NYCPNN120379-3OtherWORKER COMP/ NOFAULT
NY569OtherVYTRA
NY640017OtherHEALTHCARE PARTNERS
NYOC3471OtherHEALTHNET
NY000000056379OtherGHI HMO
NY69119OtherPHCS
NYAS985OtherOXFORD
NY112573413OtherUHC,OHP,MAGN,HORZ,HUM\CH
NY120379OtherHIP
NYOC3471OtherHEALTHNET
NY1713734007OtherCIGNA
NY1713734007OtherCIGNA
NY62259813OtherMULTIPLAN
NYC08097Medicare UPIN