Provider Demographics
NPI:1487723557
Name:LEVY & LEVY PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:LEVY & LEVY PHYSICAL THERAPY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:MPT OCS
Authorized Official - Phone:516-627-3009
Mailing Address - Street 1:1482 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-627-3009
Mailing Address - Fax:516-627-8424
Practice Address - Street 1:1482 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:516-627-3009
Practice Address - Fax:516-627-8424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA721964OtherOXF
NYM4591POtherHIP
NYQZW821Medicare ID - Type Unspecified