Levine, Bruce

Levine, Bruce is an individual health care provider with primary practice located at 24670 Gotham Street Rd Carriage House, Watertown NY 13601-4290. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Levine, Bruce can be contacted via phone (303) 385-7368.

Contact Information

Primary practice address
24670 Gotham Street Rd Carriage House Watertown NY 13601-4290
Phone: (303) 385-7368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 46758 Colorado
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 242658 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X TD60632655 Washington

Profile Details

NPI number 1205093242
LBN Legal business name Levine, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated Nov 15th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205093242 NPPES
Colorado MEDICAID 50385755

Popular Providers