Individual
JOSEPH A LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1727 N OCEAN AVE, MEDFORD, NY 11763-2649
(631) 654-1919
Mailing address
1727 N OCEAN AVE, MEDFORD, NY 11763-2649
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
177307
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
177307
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177307
—
NY
Enumeration date
02/27/2007
Last updated
06/18/2025
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