Organization
LAURIE J LEVINE MD PC
Active
Organization
LAURIE J LEVINE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE JAYNE LEVINE MD (PRESIDENT)
(516) 742-6136
Entity
Organization
Contact information
Practice address
200 OLD COUNTRY ROAD, STE 140, MINEOLA, NY 11501
(516) 742-6136
(516) 741-8130
Mailing address
200 OLD COUNTRY ROAD, STE 140, MINEOLA, NY 11501
(516) 742-6136
(516) 741-8130
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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