Organization
GLOVERSVILLE FAMILY DENTISTRY,LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW S LEVINE DDS (OWNER)
(518) 725-1031
Entity
Organization
Contact information
Practice address
22 1ST AVE, GLOVERSVILLE, NY 12078-3102
(518) 725-1031
(518) 773-4310
Mailing address
PO BOX 393, GLOVERSVILLE, NY 12078-0004
(518) 725-1031
(518) 773-4310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00915797
—
NY
01
—
731610
UNITED CONCORDIA
NY
01
—
7682
CDPHP
NY
Enumeration date
09/20/2006
Last updated
01/11/2008
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