Organization
BRIAN KEITH LEVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEITH LEVY (OWNER)
(718) 642-2088
Entity
Organization
Contact information
Practice address
1390 PENNSYLVANIA AVE, STE E, BROOKLYN, NY 11239
(718) 642-2088
(718) 642-2096
Mailing address
1390 PENNSYLVANIA AVE, STE E STARRET CITY PODIATRY, BROOKLYN, NY 11239
(718) 642-2088
(718) 642-2096
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N005753
NY
332BC3200X
Customized Equipment (DME)
Primary
N005753
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02277838
—
NY
Enumeration date
04/29/2008
Last updated
07/23/2008
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