Individual
DR. MICHELLE LEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 N COUNTRY RD, PORT JEFFERSON, NY 11777-2188
(631) 474-4200
Mailing address
60 N COUNTRY RD, PORT JEFFERSON, NY 11777-2188
(631) 474-4200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
243472
NY
Other
Enumeration date
04/24/2007
Last updated
04/06/2016
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