Individual
DR. JEFFREY ROBERT LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 E 52ND ST, NEW YORK, NY 10022-6708
(212) 421-8164
Mailing address
320 E 52ND ST, NEW YORK, NY 10022-6708
(212) 421-8164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035912
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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