Individual
DR. RUSSELL MICAH LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 STEWART AVE FL 1, BETHPAGE, NY 11714-3597
(516) 938-0100
(516) 938-0120
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
297255
NY
Other
Enumeration date
04/16/2015
Last updated
09/09/2025
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