Individual
DAVID A LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2821
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 275-2821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
717883
NY
363LP0200X
Pediatric Nurse Practitioner
383386
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F383386-01
NY
Other
Enumeration date
06/05/2020
Last updated
07/22/2023
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