National Provider Identifier

Michael Levine

Michael Levine is listed in the NPPES registry with a primary specialty of Periodontics in Buffalo, NY and a listed phone number of (716) 829-3848.

NPI 1164747192Buffalo, NYPeriodontics

Profile Overview

NPI
1164747192
Provider Type
Individual
Primary Specialty
Periodontics
Enumeration Date
April 01, 2010
Last Updated
April 01, 2010

Practice Location

  • 250 Squire Hall
  • Buffalo, NY 14214-8006

Phone: (716) 829-3848

Mailing Address

  • 111 Hidden Ridge Cmn
  • Williamsville, NY 14221-5785

Specialties

  • Periodontics (1223P0300X)
Full Record
NPI
1164747192
Entity Type
Individual
Last Name
Levine
First Name
Michael
Mailing Street Address
111 Hidden Ridge Cmn
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5785
Mailing Country
US
Mailing Phone
(716) 989-1580
Practice Street Address
250 Squire Hall
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-8006
Practice Country
US
Practice Phone
(716) 829-3848
Enumeration Date
April 01, 2010
Last Updated
April 01, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Periodontics (1223P0300X)