Organization
LEONARD LEVITAN
Active
Parent organization
LEONARD LEVITAN, DPM
Other names
Merrick Foot Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEONARD LEVITAN, DPM
Authorized official
DR. LEONARD LEVITAN DPM FAC FAOM (OWNER)
(516) 378-9100
Entity
Organization
Contact information
Practice address
1851 MERRICK AVE, MERRICK, NY 11566
(516) 378-9100
(516) 546-4870
Mailing address
1851 MERRICK AVE, MERRICK, NY 11566
(516) 378-9100
(516) 546-4870
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NY002166
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00415807
—
NY
01
—
1294830001
SUPPLIER MEDICARE NO.
NY
01
—
1659543098
DMERC ORGANIZATIONAL NPI
NY
Enumeration date
03/26/2008
Last updated
01/30/2009
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