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1346310216

NPI Code Detail

MEDICARE: NADINE R LEVICK MD

MEDICARE: NADINE R LEVICK MD

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
1	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	257965	NY
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	257965	NY
3	207Q00000X	Family Medicine Physician	257965	NY

General Provider Information

NPI Number	:	1346310216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADINE R LEVICK MD

Provider Business Mailing Address
First Line	:	1 BROOKDALE PLZ
Second Line	:	EMERGENCY DEPARTMENT, BROOKDALE HOSPITAL
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3139
Country	:	US
Telephone Number	:	718-240-6899
Fax Number	:	718-240-6655

Provider Business Practice Location Address
First Line	:	1 BROOKDALE PLZ
Second Line	:	EMERGENCY DEPARTMENT, BROOKDALE HOSPITAL
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3139
Country	:	US
Telephone Number	:	718-240-6899
Fax Number	:	718-240-6655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	12/29/2011

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Directions to “ NADINE R LEVICK MD” Practice Location

Language	Start Address	Practice Location

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