Levine, Michael Ira

Levine, Michael Ira is an sole proprietor health care provider with primary practice located at 1434 Williamsbridge Rd , Bronx NY 10461-2507. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Levine, Michael Ira can be contacted via phone (646) 759-5453.

Contact Information

Primary practice address
1434 Williamsbridge Rd Bronx NY 10461-2507
Phone: (646) 759-5453
Fax: (646) 374-4940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 169142 New York
Other Service Providers / Specialist 174400000X 38379 Wisconsin
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 38379-020 Wisconsin
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 169142 New York

Profile Details

NPI number 1912971250
LBN Legal business name Levine, Michael Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Oct 28th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912971250 NPPES
Wisconsin MEDICAID 32303500
Wisconsin MEDICAID 01110109

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