Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 157173 | NY |
NPI | 1073534574 |
---|---|
Provider Name | Dr. Linda Levin Carmine |
First Address | New Hyde Park, NY 11042 |
Second Address | New Hyde Park, NY 11042-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 25/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F48662 | (02) | NY |