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Individual

ELLIOT M LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
66 MIDDLEBUSH RD, SUITE U-306, WAPPINGERS FALLS, NY 12590-4098
(845) 297-6450
(845) 297-6160
Mailing address
66 MIDDLEBUSH RD, SUITE U-306, WAPPINGERS FALLS, NY 12590-4098
(845) 297-6450
(845) 297-6160

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201852
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01654466
NY
01
10031790
CDPHP
NY
01
117063
MVP HEALTHCARE
NY
01
14N011
EMPIRE BCBS
NY
01
2018521
WORKERS COMPENSATION
NY
01
2506422
GHI
NY
01
2C7584
HEALTHNET
NY
01
432704N
CIGNA
NY
01
5460423
AETNA
NY
01
P495454
OXFORD
NY
Enumeration date
08/29/2005
Last updated
07/08/2007
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