Healthcare Provider Details

I. General information

NPI: 1851615538
Provider Name (Legal Business Name): ALAN GARY LEVINE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2010
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18806 JAMAICA AVE STE A
HOLLIS NY
11423-2555
US

IV. Provider business mailing address

18806 JAMAICA AVE STE A
HOLLIS NY
11423-2555
US

V. Phone/Fax

Practice location:
  • Phone: 718-776-8505
  • Fax: 718-776-4634
Mailing address:
  • Phone: 718-776-8505
  • Fax: 718-776-4634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number038462
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: