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Individual

CHARLES LEVINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
340 MONTAUK HWY, WEST ISLIP, NY 11795-4437
(631) 422-9530
(631) 376-1208
Mailing address
340 MONTAUK HWY STE 1, WEST ISLIP, NY 11795-4423
(631) 422-9530
(631) 376-1208

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005801
NY

Other

Enumeration date
06/03/2006
Last updated
06/03/2019
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