Individual
WILLIAM GARY LEVERTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
HSC T12 ROOM 080 NY SPINE AND BRAIN SURGERY, STONY BROOK, NY 11794-0001
(631) 444-1116
(631) 444-1535
Mailing address
105 PAM CT, BOHEMIA, NY 11716-3813
(631) 805-1740
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
703112
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432095
NY
Other
Enumeration date
07/02/2021
Last updated
08/23/2021
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