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NPI Code Detail

MEDICARE: KAREN LEVINE LIC. AC.

MEDICARE:   KAREN  LEVINE  LIC. AC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist132MA
2363AM0700XMedical Physician Assistant503MA

General Provider Information

NPI Number : 1619151396
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LEVINE LIC. AC.
Provider Business Mailing Address
First Line : 59 VALLEY VIEW DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-3054
Country : US
Telephone Number : 413-256-0324
Fax Number :
Provider Business Practice Location Address
First Line : 96 N PLEASANT ST
Second Line :
City : AMHERST
State : MA
Zip : 01002-1717
Country : US
Telephone Number : 413-256-0324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2007
Last Update Date : 09/24/2012

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Directions to “ KAREN LEVINE LIC. AC.” Practice Location

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