Individual
BERNARD LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2628 BROADWAY, APT 33 A, NEW YORK, NY 10025-5005
(646) 438-9530
Mailing address
2628 BROADWAY, APT 33 A, NEW YORK, NY 10025-5005
(646) 438-9530
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
246576
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36672601
—
SD
Enumeration date
09/16/2006
Last updated
07/27/2010
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