Individual
DR. DAN LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BAYPORT LN N, GREAT NECK, NY 11023-1840
(516) 466-4789
Mailing address
ONE BAYPORT LANE NORTH, GREAT NECK, NY 11023
(516) 466-4789
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
163888
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00940818
—
NY
Enumeration date
07/31/2006
Last updated
09/16/2011
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