Individual
DR. JONATHAN PHILIP LEVINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, DEPT OF OPHTHALMOLOGY, BRONX, NY 10467-2401
(718) 920-2020
Mailing address
3636 WALDO AVE, # 7B, BRONX, NY 10463-2247
(718) 884-1565
(718) 884-1565
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
239456
NY
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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