| Kirk J Levy Md Pc | |
|
25 Rockwood Pl Ste 110 Englewood NJ 07631-4959 | |
| (201) 568-3174 | |
| (201) 894-1956 |
| Full Name | Kirk J Levy Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25 Rockwood Pl Ste 110, Englewood, New Jersey |
| Authorized Official Name and Position | Kirk J Levy (OWNER) |
| Authorized Official Contact | 5512658287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk J Levy Md Pc 25 Rockwood Pl Ste 110 Englewood NJ 07631-4959 Ph: (201) 568-3174 | Kirk J Levy Md Pc 25 Rockwood Pl Ste 110 Englewood NJ 07631-4959 Ph: (201) 568-3174 |
| NPI Number | 1225532161 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 03/23/2018 |
| Medicare PECOS PAC ID | 3375806862 |
|---|---|
| Medicare Enrollment ID | O20180416001230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225532161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA69166 (New Jersey) | Primary |
| Provider Name | Kirk Jay Levy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023077393 PECOS PAC ID: 2062463946 Enrollment ID: I20050208000884 |
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