Individual
BRUCE RICHARD LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 NORTHERN BLVD, SUITE 208, GREAT NECK, NY 11021
(516) 336-2534
(516) 773-4211
Mailing address
1010 NORTHERN BLVD, SUITE 208, GREAT NECK, NY 11021
(516) 336-2534
(516) 773-4211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
117006
NY
Other
Enumeration date
12/21/2006
Last updated
01/22/2015
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