Individual ProviderJacob Barry LevenStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1555 Long Pond Rd, Greece, NY 14626-4164(585) 723-7000PECOS EnrollmentBased on the most recent information from CMS, provider Jacob Barry Leven does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1255067567Provider TypeIndividualFull NameLeven, Jacob BarryCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/28/2022Last Updated2/24/2025Contact InformationPractice LocationPractice Address1555 Long Pond Rd, Greece, NY 14626-4164Phone(585) 723-7000FaxUnlisted FaxMailing LocationMailing Address1555 Long Pond Rd, Greece, NY 14626-4164Phone(585) 723-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer