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Individual

DR. JOAN BETH LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
115 CHAMBERS ST, NEW YORK, NY 10007-1001
(212) 766-4440
Mailing address
300 E 33RD ST, 15P, NEW YORK, NY 10016-9463
(212) 685-1917

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
038975-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01201812
NY
Enumeration date
04/12/2007
Last updated
07/08/2007
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