Individual
JEFFREY M LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
928 BROADWAY, SUITE 305, NEW YORK, NY 10010-6008
(212) 253-5601
(212) 253-6602
Mailing address
928 BROADWAY, SUITE 305, NEW YORK, NY 10010-6008
(212) 253-5601
(212) 253-6602
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
158288
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
41410
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01126310
—
NY
01
—
04482
GHI NUMBER
NY
Enumeration date
01/05/2007
Last updated
05/11/2010
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