JACK LEVY

NEW YORK, NY
NPI1720512049
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: NY  309233-01)
Additional Taxonomies207N00000X Dermatology
(Licence: NY  309233-01)
207N00000X Dermatology
(Licence: NJ  25MA11062100)
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: NJ  25MA11062100)
207NS0135X Dermatology, Procedural Dermatology
(Licence: NY  309233-01)
207NS0135X Dermatology, Procedural Dermatology
(Licence: NJ  25MA11062100)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-13
Last Update Date2022-10-27
Business Address
Dr. JACK LEVY MD
12 WEST 21ST STREET 6TH FLOOR
NEW YORK, NY 10010
Phone number: 212-343-2222
Mailing Address
Dr. JACK LEVY MD
19-07 RADBURN RD
FAIR LAWN, NJ 07410-4554
Phone number: 201-370-2845