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Individual

DR. ELIZABETH LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 COMMONS DR, TEN BROECK COMMONS, LAKE KATRINE, NY 12449-5149
(845) 336-6666
(845) 336-4014
Mailing address
1 COMMONS DR, TEN BROECK COMMONS, LAKE KATRINE, NY 12449-5149
(845) 336-6666
(845) 336-4014

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
195514
NY
208M00000X
Hospitalist Physician
Primary
195514
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01582425
NY
Enumeration date
08/14/2006
Last updated
01/06/2017
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