Provider Demographics
NPI:1326482555
Name:LEVINE, EVAN D (DO)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:D
Last Name:LEVINE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:800 WESTCHESTER AVE STE N715
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1369
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-305-2700
Practice Address - Fax:914-305-2701
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2021-08-18
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB10877000207RC0000X
NY285838-01207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease