Individual
MICHAEL LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 SQUIRE HALL, BUFFALO, NY 14214-8006
(716) 829-3848
Mailing address
111 HIDDEN RIDGE CMN, WILLIAMSVILLE, NY 14221-5785
(716) 989-1580
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
029302
NY
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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