Levine, Michael Ira
Levine, Michael Ira is an sole proprietor health care provider with primary practice located at 1434 Williamsbridge Rd , Bronx NY 10461-2507. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Levine, Michael Ira can be contacted via phone (646) 759-5453.Contact Information
Primary practice address
1434 Williamsbridge Rd
Bronx NY 10461-2507
Phone: (646) 759-5453
Fax: (646) 374-4940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 169142 | New York |
| Other Service Providers / Specialist | 174400000X | 38379 | Wisconsin |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 38379-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 169142 | New York |
Profile Details
| NPI number | 1912971250 |
|---|---|
| LBN Legal business name | Levine, Michael Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Oct 28th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912971250 | NPPES |
| Wisconsin | MEDICAID | 32303500 | |
| Wisconsin | MEDICAID | 01110109 |
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