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Individual
DR. JAY GARY LEVINE
Active
Individual
DR. JAY GARY LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0041131
NY
213ES0131X
Foot Surgery Podiatrist
MD001821
NJ
213ES0131X
Foot Surgery Podiatrist
N0041131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4483320001
DMERC
—
Enumeration date
07/05/2006
Last updated
04/17/2008
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