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Brad Levine Dmd Pc
Dental Clinic/Center in Port Washington, New York
NPI 1518238542

Brad Levine Dmd Pc is a Dental Clinic/Center based in Port Washington, NY and is specialized in Dental. Brad Levine Dmd Pc practices in Port Washington, NY. The NPI Number for Brad Levine Dmd Pc is 1518238542 and holds a License No. 040521 (New York).

The current practice location address for Brad Levine Dmd Pc is 14 Maple St, Port Washington, NY and can be reached out via phone at 516-767-9300 and via fax at 516-767-7392.

Location: 14 Maple St, Port Washington, NY, 11050-2967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518238542
Provider Name
Brad Levine Dmd Pc
Credential
Provider Entity Type
Organization
Address
14 Maple St, Port Washington, NY, 11050-2967
Phone Number
516-767-9300
Fax Number
516-767-7392
Provider Enumeration Date
01/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02254731 05 NY
institution
Provider Business Practice Location Address Details
Address
14 Maple St
City
Port Washington
State
New York
Zip
11050-2967
Phone Number
516-767-9300
Fax Number
516-767-7392
person
Provider Business Mailing Address Details
Address
14 Maple St
City
Port Washington
State
New York
Zip
11050-2967
Phone Number
516-767-9300
Fax Number
516-767-7392
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
040521 (New York)
Definition
Definition to come...
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