Individual
GEORGE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Contact information
Practice address
840 UNIVERSITY AVE, ROCHESTER, NY 14607-1288
(585) 278-7199
Mailing address
58 INDIANA ST, ROCHESTER, NY 14609-7437
(585) 278-7199
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
062109
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
308127
NY
Other
Enumeration date
03/06/2015
Last updated
03/11/2022
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