Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | LL33919 | SC |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 303250-01 | NY |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | TRN21517 | FL |
NPI | 1225325673 |
---|---|
Provider Name | Joshua David Levine |
First Address | Manhasset, NY 11030-3022 |
Second Address | Manhasset, NY 11030-3022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2011 |
Last Update Date | 03/06/2020 |