Organization
NYE MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME H LEVY MD (SURGEON DIRECTOR)
(718) 519-1000
Entity
Organization
Contact information
Practice address
1101 PELHAM PKWY N, BRONX, NY 10469-5411
(718) 515-3500
(718) 405-3806
Mailing address
1101 PELHAM PKWY N, BRONX, NY 10469-5411
(718) 515-3500
(718) 405-3806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NY
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02143722
—
NY
01
—
CH2107
PALMETTO GBA RRMEDICARE
—
Enumeration date
09/20/2006
Last updated
03/27/2013
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