| Doctor Name: | DR. GARY D LEAVITT |
| NPI Number: | 1053303040 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 209921 |
| Business Practice Address: | 5100 W Taft Rd Suite 2a Liverpool, NY - 130883807 |
| Business Phone Number: | 3154522555 |
| Business Fax Number: | 3154522559 |
| Mailing Address: | 4567 Crossroads Park Dr, 2nd Floor LIVERPOOL |
| State: | NY |
| Postal Code: | 130883589 |
| Phone Number: | 3152952100 |
| Fax Number: | 3152952125 |
| NPI Enumeration Date: | 08/17/2005 |
| NPI Last Update Date: | 09/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 209921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |