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Organization
KLETTER & LEVINE PC
Active
Organization
KLETTER & LEVINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW LEVINE DDS (OWNER)
(518) 792-2187
Entity
Organization
Contact information
Practice address
63 HUDSON ST, SOUTH GLENS FALLS, NY 12803-4945
(518) 792-2187
(518) 792-2188
Mailing address
63 HUDSON ST, SOUTH GLENS FALLS, NY 12803-4945
(518) 792-2187
(518) 792-2188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDPHP
7259
NY
01
—
UNITED CONCORDIA
1408571
NY
Enumeration date
10/23/2006
Last updated
08/22/2020
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