Individual
JAY RICHARD LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
120 E WASHINGTON ST, STE 308, SYRACUSE, NY 13202-4007
(315) 422-0453
(315) 638-2034
Mailing address
120 E WASHINGTON ST STE 308, SYRACUSE, NY 13202-4007
(315) 422-0453
(315) 638-2034
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0023131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02662673
—
NY
01
—
C32925B
FIRST UNITED AMERICAN LIF
—
01
—
P3026
EMPIRE BC
—
Enumeration date
09/06/2006
Last updated
05/05/2008
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