Organization
BEHAVIORAL MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T. LEVY M.D. (PRESIDENT)
(718) 351-8100
Entity
Organization
Contact information
Practice address
500 SEAVIEW AVE, SUITE 200A, STATEN ISLAND, NY 10305-3403
(718) 351-8100
(718) 351-4560
Mailing address
500 SEAVIEW AVE, SUITE 200A, STATEN ISLAND, NY 10305-3403
(718) 351-8100
(718) 351-4560
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
1068051
NY
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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