Individual
JACK LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3003 NEW HYDE PARK RD STE 312, NEW HYDE PARK, NY 11042-1214
(516) 492-3515
Mailing address
3003 NEW HYDE PARK RD STE 312, NEW HYDE PARK, NY 11042-1214
(917) 213-4455
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007087
NY
Other
Enumeration date
04/20/2016
Last updated
06/01/2020
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