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Individual

DR. IRWIN LEVENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 E 86TH ST, NEW YORK, NY 10028-0506
(212) 517-9555
(212) 737-4547
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
146735
NY

Other

Enumeration date
11/27/2006
Last updated
01/17/2020
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