Individual
KEITH LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
85 HIGH ST, BUFFALO, NY 14203-1149
(716) 630-1000
(716) 680-1348
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306885
NY
Other
Enumeration date
07/14/2014
Last updated
01/08/2020
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