Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 190532 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301086651 | MI |
NPI | 1063459766 |
---|---|
Provider Name | Dr. Stephen F Levinson |
First Address | Flushing, NY 11354-5576 |
Second Address | Flushing, NY 11354-5576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 05/12/2008 |