Levin, Igor

Levin, Igor is an sole proprietor health care provider with primary practice located at 380 Sunrise Mall , Massapequa NY 11758-4325. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Levin, Igor can be contacted via phone (516) 798-3444.

Contact Information

Primary practice address
380 Sunrise Mall Massapequa NY 11758-4325
Fax: (516) 798-3443
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050084 New York

Profile Details

NPI number 1932313244
LBN Legal business name Levin, Igor
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932313244 NPPES
New York MEDICAID 02337699

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