Individual
DR. JOSHUA LOUIS LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 W 57TH ST STE 1603, NEW YORK, NY 10019-2828
(212) 245-8140
(212) 245-8157
Mailing address
1601 HWY 35 UNIT 298, MIDDLETOWN, NJ 07748-6711
(212) 245-8140
(212) 245-8157
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
045702
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
15239R
LA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
208642
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
MD28376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020766405
TAX ID NY
NY
05
—
1063533
—
LA
01
—
462508521
TAX ID NJ
NJ
Enumeration date
07/25/2006
Last updated
12/14/2023
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