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Individual

SIMON LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 FROEHLICH FARM BLVD, WOODBURY, NY 11797-2922
(516) 364-5400
Mailing address
55 WATER ST, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
152070
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00919686
NY
Enumeration date
06/03/2006
Last updated
02/06/2017
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