Organization
JONATHAN M. LEVY, DPM, PC
Active
Other names
Park 56 Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MARC LEVY DPM (PRESIDENT)
(212) 980-6487
Entity
Organization
Contact information
Practice address
120 E 56TH ST, SUITE 940, NEW YORK, NY 10022-3607
(212) 980-6487
(212) 980-8685
Mailing address
120 E 56TH ST, SUITE 940, NEW YORK, NY 10022-3607
(212) 980-6487
(212) 980-8685
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
003732
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
003732
NY
213ER0200X
Radiology Podiatrist
003732
NY
213ES0000X
Sports Medicine Podiatrist
003732
NY
213ES0131X
Foot Surgery Podiatrist
003732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00877436
—
NY
01
—
P00345607
RAILROAD MEDICARE
NY
Enumeration date
05/18/2006
Last updated
10/10/2018
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