Provider Demographics
NPI:1073534574
Name:CARMINE, LINDA LEVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LEVIN
Last Name:CARMINE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:410 LAKEVILLE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-465-3270
Mailing Address - Fax:516-465-5299
Practice Address - Street 1:410 LAKEVILLE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1101
Practice Address - Country:US
Practice Address - Phone:516-465-3270
Practice Address - Fax:516-465-5299
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2019-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1571732080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF48662Medicare UPIN