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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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