Organization
ROGER G LEVINE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER G LEVINE (OWNER)
(315) 469-2827
Entity
Organization
Contact information
Practice address
4914 WEST SENECA TURNPKIE, SYRACUSE, NY 13215
(315) 469-2827
(888) 224-8297
Mailing address
4914 WEST SENECA TURNPKIE, SYRACUSE, NY 13215
(315) 469-2827
(888) 224-8297
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
172860
NY
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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