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Individual

CHAIM SIMCHA LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4802 TENTH AVENUE, ATTN CARDIOLOGY, BROOKLYN, NY 11219-2916
(718) 283-7489
(718) 283-8956
Mailing address
4802 TENTH AVENUE, ATTN CARDIOLOGY, BROOKLYN, NY 11219-2916
(718) 283-7489
(718) 283-8956

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1693371
NY
207RC0000X
Cardiovascular Disease Physician
Primary
1963371
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01850999
NY
Enumeration date
06/08/2006
Last updated
10/03/2012
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