LEONARD S LEVINE


Address: 6205 Marilyn Dr, Alexandria, VA 22310-1520
Phone: 7039713941

LEONARD S LEVINE (NPI# 1053677690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053677690
Entity Type Individual
Full Name LEONARD S LEVINE
Credential MD
Practice Address 6205 Marilyn Dr
Alexandria
VA 22310-1520
Practice Telephone 7039713941
Mailing Telephone 7039713941
Enumeration Date 2012-04-09
Last Update Date 2012-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
0101016603 VA Ambulatory Health Care Facilities

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Office Location

Street Address 6205 MARILYN DR
City ALEXANDRIA
State VA
Zip Code 22310-1520

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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City ALEXANDRIA
Zip Code 22310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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