National Provider Identifier
Ethan Levine, D.O.
Ethan Levine, D.O. is listed in the NPPES registry with a primary specialty of Clinical Cardiac Electrophysiology Physician in Elmira, NY and a listed phone number of (607) 735-4623.
Profile Overview
- NPI
- 1144238577
- Provider Type
- Individual
- Primary Specialty
- Clinical Cardiac Electrophysiology Physician
- Enumeration Date
- August 03, 2006
- Last Updated
- June 13, 2016
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 735-4623
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Clinical Cardiac Electrophysiology Physician (207RC0001X)
Full Record
- NPI
- 1144238577
- Entity Type
- Individual
- Last Name
- Levine
- First Name
- Ethan
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 735-4623
- Practice Fax
- (607) 271-3711
- Enumeration Date
- August 03, 2006
- Last Updated
- June 13, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Cardiac Electrophysiology Physician (207RC0001X)
- Other Identifiers
- 02886946 (NY), 102254461 (PA)