Individual
SAMUEL LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40 CANTERBURY RD, ROCKVILLE CENTRE, NY 11570-1310
(516) 536-4195
(516) 536-9697
Mailing address
40 CANTERBURY RD, ROCKVILLE CENTRE, NY 11570-1310
(516) 536-4195
(516) 536-9697
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24081
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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