Individual
DR. IGOR LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
380 SUNRISE MALL, MASSAPEQUA, NY 11758-4325
(516) 798-3444
(516) 798-3443
Mailing address
380 SUNRISE MALL, MASSAPEQUA, NY 11758-4325
(516) 798-3444
(516) 798-3443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02337699
—
NY
Enumeration date
05/09/2007
Last updated
07/08/2007
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