Individual
MARK J LEVITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
36 MADDER LAKE CIR, COMMACK, NY 11725-2340
(516) 359-8746
(631) 352-2527
Mailing address
36 MADDER LAKE CIR, COMMACK, NY 11725-2340
(516) 359-8746
(631) 352-2527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004472-1
NY
Other
Enumeration date
04/16/2015
Last updated
02/08/2019
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