Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 213252 | NY |
NPI | 1053311464 |
---|---|
Provider Name | Dr. Alan Levenson |
First Address | Brooklyn, NY 11219-3661 |
Second Address | Brooklyn, NY 11219-3661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 03/12/2014 |