Individual provider · Type 1 NPI

Jack Levy, MD

MOHS-Micrographic Surgery Physician · New York, NY

NPI number 1720512049 Active

Practice location

12 West 21st Street, 6th Floor
New York, NY 10010

Call (212) 343-2222 Map

Mailing address

19-07 Radburn Rd
Fair Lawn, NJ 07410-4554

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X309233-01 (NY)
Dermatology Physician 207N00000X25MA11062100 (NJ)
MOHS-Micrographic Surgery Physician 207ND0101X25MA11062100 (NJ)
Procedural Dermatology Physician 207NS0135X309233-01 (NY)
Procedural Dermatology Physician 207NS0135X25MA11062100 (NJ)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
MOHS-Micrographic Surgery Physician Primary 207ND0101X309233-01 (NY)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1720512049

Jack Levy, MD's National Provider Identifier is 1720512049, issued on Apr 13, 2017. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in New York, NY. The record was last updated on Oct 27, 2022.