Individual
GLEN LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 SUNRISE HWY, ROCKVILLE CENTRE, NY 11570-5128
(516) 766-0550
(516) 766-0585
Mailing address
560 SUNRISE HWY, ROCKVILLE CENTRE, NY 11570-5128
(516) 766-0550
(516) 766-0585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006028
NY
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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