Individual
STEWART ALAN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2634 BELL BLVD, BAYSIDE, NY 11360-2539
(718) 428-2020
(718) 279-8077
Mailing address
2634 BELL BLVD, BAYSIDE, NY 11360-2539
(718) 428-2020
(718) 279-8077
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
131125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00570232
—
NY
01
—
45Z862
MEDICARE - EMPIRE
NY
01
—
49A04
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
07/14/2006
Last updated
01/14/2013
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