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Individual

JAY L LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
341 HARRY L DR, JOHNSON CITY, NY 13790-1402
(607) 797-7990
(607) 797-2230
Mailing address
341 HARRY L DR, JOHNSON CITY, NY 13790-1402
(607) 797-7990
(607) 797-2230

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4034
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40347
WORKERS' COMPENSATION
NY
01
5510685
AETNA
NY
01
DC02335NLE
GROUP
NY
Enumeration date
10/19/2006
Last updated
07/08/2007
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