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Ethan Levine
Medical Physician Assistant in Newburgh, New York
NPI 1487182283

Ethan Levine is a Medical Physician Assistant based in New Rochelle, NY and is specialized in Medical. Ethan Levine practices in Newburgh, NY. The NPI Number for Ethan Levine is 1487182283 and holds a License No. 3863 (New York).

The current practice location address for Ethan Levine is 70 Dubois St, Newburgh, NY and can be reached out via phone at 845-561-4400.

Location: 70 Dubois St, Newburgh, NY, 10805-1016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487182283
Provider Name
Ethan Levine
Credential
Provider Entity Type
Individual
Gender
Male
Address
70 Dubois St, Newburgh, NY, 10805-1016
Phone Number
845-561-4400
Fax Number
Provider Enumeration Date
05/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
70 Dubois St
City
Newburgh
State
New York
Zip
12550-4851
Phone Number
845-561-4400
Fax Number
person
Provider Business Mailing Address Details
Address
70 Dubois St
City
Newburgh
State
New York
Zip
12550-4851
Phone Number
845-561-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
3863 (Connecticut)
Definition
Definition to come...
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