Dr. Roger F Levac
Adolescent Medicine
84 Broad St
Glens Falls
, New York 12801-4381
Dr. Roger F Levac
Adolescent Medicine
84 Broad St
Glens Falls
, New York 12801-4381
(518) 798-9576
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Roger F Levac
- 84 Broad St
- Glens Falls, NY
- Zip : 12801-4381
- Fax : (518) 798-9576
- Phone : (518) 798-9538
Second Address
- Dr. Roger F Levac
- 84 Broad St
- Glens Falls, NY
- Zip : 12801-4381
- Fax : (518) 798-9576
- Phone : (518) 798-9538
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 195204 | NY |
National Provider Identifier
| NPI | 1275566630 |
|---|---|
| Provider Name | Dr. Roger F Levac |
| First Address | Glens Falls, NY 12801-4381 |
| Second Address | Glens Falls, NY 12801-4381 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2006 |
| Last Update Date | 09/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01483976 | (05) | NY |
| F45942 | (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.