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General NPI Number Information
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NPI Number | 1073836169
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Entity Type | Organization
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Legal Business Name | RONALD S LEVANDUSKY MD PC
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 2 5TH AVE SUITE 6
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City | NEW YORK
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State | NY
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Zip | 10011-8856
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Country | US
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Telephone | 212-889-6999
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Fax | 212-473-7856
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Provider Business Mailing Address
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Address Line | 2 5TH AVE SUITE 6
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City | NEW YORK
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State | NY
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Zip | 10011-8856
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Country | US
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Telephone | 212-889-6999
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Fax | 212-473-7856
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD STEVEN LEVANDUSKY
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Credential | MD
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Telephone | 212-889-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 111867-1
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License Number State | NY
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