Organization
MAIDEN LANE MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEVEY MD (PRESIDENT)
(646) 290-9560
Entity
Organization
Contact information
Practice address
90 MAIDEN LN, THIRD FLOOR, NEW YORK, NY 10038-4831
(646) 290-9560
(212) 532-4362
Mailing address
90 MAIDEN LN, THIRD FLOOR, NEW YORK, NY 10038-4831
(646) 290-9560
(212) 532-4362
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
220289
NY
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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