Levine, Ethan

Levine, Ethan is an individual health care provider with primary practice located at 600 Roe Ave , Elmira NY 14905-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Levine, Ethan can be contacted via phone (607) 735-4623.

Contact Information

Primary practice address
600 Roe Ave Elmira NY 14905-1629
Phone: (607) 735-4623
Fax: (607) 271-3711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 221196 New York

Profile Details

NPI number 1144238577
LBN Legal business name Levine, Ethan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 13th, 2016 - about 8 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 1144238577 NPPES
New York MEDICAID 02886946
New York MEDICAID 102254461

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