Individual
BENJAMIN LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 WATERS PL FL 11, BRONX, NY 10461-2720
(718) 920-2060
Mailing address
1250 WATERS PL FL 11, BRONX, NY 10461-2720
(718) 920-2060
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
304462
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
62420
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2014
Last updated
06/03/2022
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