MEDICARE: DR. PAMELA A LEVE 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	207N00000X	Dermatology Physician	188235	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	070010777	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5625554	OTHER		AETNA PRODUCTS
4	000914861001	OTHER		BCBS WNY GM
5	102690AP	OTHER	NY	PREFERRED CARE PRODUCTS
6	040426004653	OTHER		FEDLIS CARE
7	2314	OTHER		EXCELLUS INDEMINITY CARE
8	300343	OTHER		WELL CARE
9	P010188235	OTHER	NY	EXCELLUS MANAGED CARE

General Provider Information

NPI Number	:	1447202734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA A LEVE MD

Provider Business Mailing Address
First Line	:	220 LINDEN OAKS STE 300
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2839
Country	:	US
Telephone Number	:	585-383-4420
Fax Number	:	585-383-4515

Provider Business Practice Location Address
First Line	:	220 LINDEN OAKS STE 300
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2839
Country	:	US
Telephone Number	:	585-383-4420
Fax Number	:	585-383-4515

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	10/20/2022

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Directions to “ DR. PAMELA A LEVE MD” Practice Location

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