BRIAN KEITH LEVY; NPI #1255506408

Contact Information

BRIAN KEITH LEVY

1390 PENNSYLVANIA AVE
STE E
BROOKLYN, NY 11239

Phone: 718-642-2088
Fax: 718-642-2096
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Customized Equipment	332BC3200X	87	All Other Suppliers
Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BRIAN KEITH LEVY

NPI Number 1255506408

LBN Legal business name BRIAN KEITH LEVY

Authorized official BRIAN LEVY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/29/2008

Last updated 07/23/2008 - About 18 years ago

Identifiers

NY	License #	N005753
NY	Medicaid	02277838

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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