Individual
ERIC R LEVASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
22 GRAHAM AVE, CORTLAND, NY 13045-2452
(607) 753-2011
Mailing address
4 HIGHLAND AVE, STANHOPE, NJ 07874-2825
(973) 713-1794
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
003476-1
NY
225400000X
Rehabilitation Practitioner
—
NY
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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