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Dr. Malcolm E Levine

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NPI Number Detailed Information

Provider Information:

Name: Dr. Malcolm E Levine
Gender: M
Provider License Number If Given: 93658

NPI Information:

NPI: 1023017316
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/19/2005

Last Update Date: 2/27/2009

Provider Business Mailing Address:

Address: 1201 NORTHERN BLVD
Manhasset, NY 11030
Phone Number: 5166271221
Fax Number: 5166276857

Provider Business Practice Location Address:

Address: 1201 NORTHERN BLVD
Manhasset, NY 11030
Phone Number: 5166271221
Fax Number: 5166276857

Provider Taxonomy:

Primary: 207RH0000X
Secondary (if any):
State: NY

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