Dr. Brad A Levine
Endodontist Oral and Maxillofacial Surgeon
14 Maple St
Port Washington
, New York 11050-2946
Dr. Brad A Levine
Endodontist Oral and Maxillofacial Surgeon
14 Maple St
Port Washington
, New York 11050-2946
(516) 767-9300
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About
Features
Specialties
- Endodontist
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Brad A Levine
- 14 Maple St
- Port Washington, NY
- Zip : 11050-2946
- Phone : (516) 767-9300
Second Address
- Dr. Brad A Levine
- 14 Maple St
- Port Washington, NY
- Zip : 11050-2946
- Phone : (516) 767-9300
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Is Dr. Brad A Levine a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 040521 | NY |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 040521 | NY |
National Provider Identifier
| NPI | 1144203613 |
|---|---|
| Provider Name | Dr. Brad A Levine |
| First Address | Port Washington, NY 11050-2946 |
| Second Address | Port Washington, NY 11050-2946 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2005 |
| Last Update Date | 24/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02254731 | (05) | NY |
| U56029 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.