Organization
MARK M LEVINE DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LEVINE DPM (PODIATRIST)
(718) 894-9291
Entity
Organization
Contact information
Practice address
67-09 75 STREET, MIDDLE VILLAGE, NY 11379
(718) 894-9291
(718) 894-9745
Mailing address
67-09 75 STREET, MIDDLE VILLAGE, NY 11379
(718) 894-9291
(718) 894-9745
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003194
NY
Other
Enumeration date
10/13/2006
Last updated
08/05/2008
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