Healthcare Provider Details

I. General information

NPI: 1336254309
Provider Name (Legal Business Name): ENT & ALLERGY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 OYSTER LANDING RD
MILFORD CT
06460-6566
US

IV. Provider business mailing address

4 OYSTER LANDING RD
MILFORD CT
06460-6566
US

V. Phone/Fax

Practice location:
  • Phone: 203-984-0240
  • Fax:
Mailing address:
  • Phone: 203-984-0240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN B LEVINE
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 203-380-3707