# MILLENNIUM PODIATRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003394032
- **Authorized official:** DR. SUZANNE MARIN LEVINE D.P.M. (OWNER)
- **Authorized official phone:** (212) 539-0229

## Contact information

- **Practice address:** 103 E 78TH ST STE 103, NEW YORK, NY 10075-0301
- **Practice address phone:** (212) 535-0229
- **Practice address fax:** (212) 452-1292
- **Mailing address:** 103 E 78TH ST STE 103, NEW YORK, NY 10075-0301
- **Mailing address phone:** (212) 535-0229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | Yes |
| 171W00000X | Contractor | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2018
- **Last updated:** 08/01/2018