Individual
DR. ROBERT SETH LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4080
(631) 689-3188
(732) 244-2804
Mailing address
125 BELMILL RD, BELLMORE, NY 11710-4507
(516) 287-2969
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
255668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14050
UNIVERSITY HEALTH PLANS
NJ
01
—
189069
AMERICAID/AMERIGROUP
NJ
Enumeration date
05/12/2006
Last updated
03/03/2015
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