Individual
DR. ALEXANDER LEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4030
Mailing address
630 W 246TH ST, APT 1530, BRONX, NY 10471-3631
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
294518
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131740114
MONTEFIORE TAX ID
NY
Enumeration date
09/28/2012
Last updated
09/18/2018
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