Individual
CRAIG LENARD LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
387 E MAIN ST, SUITE 101, BAY SHORE, NY 11706-8413
(631) 665-1325
(631) 665-5168
Mailing address
387 E MAIN ST, SUITE 101, BAY SHORE, NY 11706-8413
(631) 665-1325
(631) 665-5168
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
044512
NY
Other
Enumeration date
02/06/2007
Last updated
07/09/2007
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