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Individual

DR. TODD ADAM LEVENSTIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
481 W MONTAUK HWY, LINDENHURST, NY 11757-5528
(631) 226-3668
Mailing address
PO BOX 205, HUNTINGTON STATION, NY 11746-0169
(631) 226-3668

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N0059441
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PEWA81
GROUP PIN - LIFS
NY
01
PJ108PEA81
INDIVIDUAL PIN - LIFS
NY
Enumeration date
05/27/2005
Last updated
01/21/2017
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