MEDICARE: DR. HOWARD J LEVINE M.D.

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	208000000X	Pediatrics Physician	140622	NY

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

General Provider Information

NPI Number	:	1750478251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD J LEVINE M.D.

Provider Business Mailing Address
First Line	:	1023 HAZEL PLACE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1109
Country	:	US
Telephone Number	:	516-295-2128
Fax Number	:	718-444-3728

Provider Business Practice Location Address
First Line	:	930 EAST 83 STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3813
Country	:	US
Telephone Number	:	718-444-6500
Fax Number	:	718-444-3728

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/08/2007

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