Individual
RICHARD LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 NORTHWAY LN, SUITE 1, LATHAM, NY 12110-4815
(518) 786-1291
Mailing address
30 LATHAM CIR, SAUGERTIES, NY 12477-4213
(845) 247-3227
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
178570
NY
2085R0202X
Diagnostic Radiology Physician
Primary
178570
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02743864
—
NY
Enumeration date
01/27/2006
Last updated
02/16/2017
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