Levinson, Michael Bruce

Levinson, Michael Bruce is an sole proprietor health care provider with primary practice located at 1146 Deer Park Ave , North Babylon NY 11703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Levinson, Michael Bruce can be contacted via phone (631) 242-0808.

Contact Information

Primary practice address
1146 Deer Park Ave North Babylon NY 11703
Fax: (631) 274-3683
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV003111 New York

Profile Details

NPI number 1386722437
LBN Legal business name Levinson, Michael Bruce
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated May 27th, 2014 - about 11 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 1386722437 NPPES
New York MEDICAID 00396754

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