Individual
DR. JILL LOREN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
353 2ND ST APT 4R, BROOKLYN, NY 11215-2443
(516) 581-7667
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS11659
FL
Other
Enumeration date
01/31/2011
Last updated
06/19/2012
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