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Contact Information

JACK LEVY, MD
12 WEST 21ST STREET
6TH FLOOR
NEW YORK, NY10010
 Phone: 212-343-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACK LEVY · (Male)

NPI Number 1720512049
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2017
Last updated 10/27/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA11062100
  • NY License # 309233-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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