Individual
PAUL A LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHAM, 3415 BAINBRIDGE AVENUE, BRONX, NY 10467
(718) 741-2323
(718) 920-6506
Mailing address
3415 BAINBRIDGE AVE, PEDIATRIC GENETICS, BRONX, NY 10467-2403
(718) 741-2323
(718) 920-6506
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
178748
NY
207SG0202X
Clinical Biochemical Genetics Physician
Primary
178748
NY
208000000X
Pediatrics Physician
178748
NY
Other
Enumeration date
11/02/2006
Last updated
08/08/2008
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