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Organization

ROCKVILLE DERMATOLOGY, PC

Active
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Organization

ROCKVILLE DERMATOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STUART R LEVINE D.O. (PRESIDENT)
(516) 763-1717
Entity
Organization

Contact information

Practice address
2000 N VILLAGE AVE, SUITE 203, ROCKVILLE CENTRE, NY 11570-1078
(516) 763-1717
(516) 678-4996
Mailing address
2000 N VILLAGE AVE, SUITE 203, ROCKVILLE CENTRE, NY 11570-1078
(516) 763-1717
(516) 678-4996

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
197033
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7673541
AETNA
Enumeration date
07/14/2005
Last updated
11/18/2011
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