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Organization

MARJORIE LEVITAN MD PC

Active
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Organization

MARJORIE LEVITAN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARJORIE RUTH LEVITAN MD (CEO PRESIDENT)
(212) 316-4060
Entity
Organization

Contact information

Practice address
1090 AMSTERDAM AVE, SUITE 8A, NEW YORK, NY 10025
(212) 376-4060
(212) 316-4062
Mailing address
PO BOX 20046, PARK WEST STATION, NEW YORK, NY 10025
(212) 316-4060
(212) 316-4062

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155557
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005AR2
EMPIRE BCBS
05
01722903
NY
01
184468P
HIP OF NEW YORK
NY
01
P2350461
OXFORD
NY
Enumeration date
09/20/2006
Last updated
03/18/2014
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