Individual
ELLIS LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8008
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8008
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
178184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01183893
—
NY
Enumeration date
07/12/2005
Last updated
01/20/2021
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