Individual
GREGORY LEVITIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W 57TH ST STE 508, NEW YORK, NY 10019-3203
(212) 316-0616
(646) 396-5609
Mailing address
200 W 57TH ST, NEW YORK, NY 10019-3211
(212) 957-6933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
212059
NY
207Y00000X
Otolaryngology Physician
Primary
212059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02391073
—
NY
Enumeration date
10/04/2006
Last updated
03/26/2025
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