Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 093658 | NY |
NPI | 1023017316 |
---|---|
Provider Name | Dr. Malcolm E Levine |
First Address | Manhasset, NY 11030-3001 |
Second Address | Manhasset, NY 11030-3001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 27/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C09888 | (02) | NY |