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Organization

MICHAEL I LEVI MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL IRA LEVI MD (OWNER)
(315) 281-4485
Entity
Organization

Contact information

Practice address
1614 N JAMES ST, ROME, NY 13440-2830
(315) 339-7411
Mailing address
610 CYPRESS ST, ROME, NY 13440-2154
(315) 281-4485

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217243
NY
208000000X
Pediatrics Physician
Primary
217243
NY

Other

Enumeration date
11/11/2008
Last updated
11/11/2008
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