Individual
DR. LAURIE J LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., P.C.
Contact information
Practice address
200 OL COUNTRY ROAD, SUITE 140, MINEOLA, NY 11501
(516) 742-6136
(516) 741-8130
Mailing address
200 OLD COUNTRY RD, SUITE 140, MINEOLA, NY 11501-4235
(516) 742-6136
(516) 741-8130
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
170061
NY
Other
Enumeration date
07/05/2006
Last updated
05/27/2008
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