Organization
COMPREHENSIVE FOOT AND ANKLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY G. LEVINE DPM (OWNER)
(845) 623-5933
Entity
Organization
Contact information
Practice address
55 OLD NYACK TPKE, SUITE 407, NANUET, NY 10954-2461
(845) 623-5933
(845) 623-4261
Mailing address
55 OLD NYACK TPKE, SUITE 407, NANUET, NY 10954-2461
(845) 623-5933
(845) 623-4261
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N004113-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4483320001
DMERC
—
Enumeration date
04/08/2008
Last updated
04/18/2008
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