Individual
MR. RICHARD MARTIN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 519-5029
(718) 519-4958
Mailing address
121 SUNNYSIDE WAY, NEW ROCHELLE, NY 10804-2226
(914) 633-0797
(914) 633-0798
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
F381435
NY
363L00000X
Nurse Practitioner
381435
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
381435
NY
Other
Enumeration date
12/29/2006
Last updated
05/17/2019
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