Individual
MITCHELL E LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 NORTHERN BLVD, SSTE 260, GREAT NECK, NY 11021-5302
(516) 773-7737
(516) 773-7751
Mailing address
900 NORTHERN BLVD, STE 260, GREAT NECK, NY 11021-5302
(516) 773-7737
(516) 773-7751
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
152925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00751419
—
NY
Enumeration date
10/31/2006
Last updated
07/18/2012
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