Individual
DR. KEITH S LEVENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2374 JERUSALEM AVE, NORTH BELLMORE, NY 11710-1825
(516) 409-8311
(516) 409-8313
Mailing address
2374 JERUSALEM AVE, N BELLMORE, NY 11710-1825
(516) 409-8311
(516) 409-8313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01937140
—
NY
Enumeration date
11/20/2006
Last updated
11/25/2014
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