Healthcare Provider Details

I. General information

NPI: 1922052927
Provider Name (Legal Business Name): STEVEN ALLAN LEVESTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 05/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 CHILI AVE STE 200
ROCHESTER NY
14624-3035
US

IV. Provider business mailing address

1160 CHILI AVE STE 200
ROCHESTER NY
14624-3035
US

V. Phone/Fax

Practice location:
  • Phone: 585-500-4814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number121048
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: