Individual
BRUCE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24670 GOTHAM STREET RD, CARRIAGE HOUSE, WATERTOWN, NY 13601-4290
(303) 385-7368
Mailing address
24670 GOTHAM STREET RD, CARRIAGE HOUSE, WATERTOWN, NY 13601-4290
(303) 385-7368
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
TD60632655
WA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
242658
NY
2084P0804X
Child & Adolescent Psychiatry Physician
46758
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50385755
—
CO
Enumeration date
05/19/2008
Last updated
11/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us