| David Levine | |
|
888 Western Ave Albany NY 12203-2532 | |
| (518) 435-1104 | |
| (518) 459-2419 |
| Full Name | David Levine |
|---|---|
| Speciality | Dentist |
| Location | 888 Western Ave, Albany, New York |
| Authorized Official Name and Position | David Levine (OWNER) |
| Authorized Official Contact | 5184351104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Levine 888 Western Ave Albany NY 12203-2532 Ph: (518) 435-1104 | David Levine 888 Western Ave Albany NY 12203-2532 Ph: (518) 435-1104 |
| NPI Number | 1417438102 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/22/2018 |
| Medicare PECOS PAC ID | 6901154814 |
|---|---|
| Medicare Enrollment ID | O20181219000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417438102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 033684 (New York) | Primary |
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