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NPI Code Detail

MEDICARE: DANTE MICAH LEVEN D.O

MEDICARE: DANTE MICAH LEVEN D.O
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
1207X00000XOrthopaedic Surgery Physician280798NY
2390200000XStudent in an Organized Health Care Education/Training Program
3207XS0117XOrthopaedic Surgery of the Spine Physician280798NY

General Provider Information

NPI Number : 1508134743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANTE MICAH LEVEN D.O
Provider Business Mailing Address
First Line : 315 GREENE AVENUE 4A
Second Line :
City : BROOKLYN
State : NY
Zip : 11238
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1789 SHEEPSHEAD BAY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2792
Country : US
Telephone Number : 516-795-3033
Fax Number : 516-590-7684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2011
Last Update Date : 09/30/2020

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