Individual
DR. ELLIOT LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
96 MAIN ST, CAMDEN, NY 13316-1320
(315) 245-3020
(315) 245-3021
Mailing address
PO BOX 454, CAMDEN, NY 13316-0454
(315) 245-3020
(315) 245-3021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
XO11141-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10905087
CAQH
NY
Enumeration date
10/16/2006
Last updated
07/08/2007
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