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Mr. Jack Edward Levine, MD
Diagnostic Radiology Physician in Chappaqua, New York
NPI 1336377654

Jack Edward Levine is a Diagnostic Radiology Physician based in Chappaqua, NY and is specialized in Diagnostic Radiology. Jack Edward Levine practices in Chappaqua, NY and has the professional credentials of MD. The NPI Number for Jack Edward Levine is 1336377654 and holds a License No. 106392 (New York).

The current practice location address for Jack Edward Levine is 6 Nancy Lane, Chappaqua, NY and can be reached out via phone at 914-238-6247 and via fax at 914-238-1737.

Location: 6 Nancy Lane, Chappaqua, NY, 10514-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336377654
Provider Name
Jack Edward Levine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6 Nancy Lane, Chappaqua, NY, 10514-2111
Phone Number
914-238-6247
Fax Number
914-238-1737
Provider Enumeration Date
06/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00644720 05 NY
institution
Provider Business Practice Location Address Details
Address
6 Nancy Lane
City
Chappaqua
State
New York
Zip
10514-2111
Phone Number
914-238-6247
Fax Number
914-238-1737
person
Provider Business Mailing Address Details
Address
6 Nancy Lane
City
Chappaqua
State
New York
Zip
10514-2111
Phone Number
914-238-6247
Fax Number
914-238-1737
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
106392 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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