Most Relevant Information
Provider Data
| NPI Number: | 1003435215 |
| Provider Name: | LOUIS JAY LEVINE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/09/2020 |
| Last Updated: | 04/09/2020 |
Provider Practice Location
20 YORK ST
TOMPKINS 226
NEW HAVEN
CT
065103220
Practice Location Phone/Fax
| Phone: | 2036884242 |
| Fax: |
Provider Mailing Location
20 YORK ST
TOMPKINS 226
NEW HAVEN
CT
065103220
Provider Mailing Phone/Fax
| Phone: | 2036884242 |
| Fax: |