Provider Demographics
NPI:1447202734
Name:LEVE, PAMELA A (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:A
Last Name:LEVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220 LINDEN OAKS STE 300
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2839
Mailing Address - Country:US
Mailing Address - Phone:585-383-4420
Mailing Address - Fax:585-383-4515
Practice Address - Street 1:220 LINDEN OAKS STE 300
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2839
Practice Address - Country:US
Practice Address - Phone:585-383-4420
Practice Address - Fax:585-383-4515
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188235207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01685143Medicaid
5625554OtherAETNA PRODUCTS
070010777OtherRAILROAD MEDICARE
000914861001OtherBCBS WNY GM
NY102690APOtherPREFERRED CARE PRODUCTS
040426004653OtherFEDLIS CARE
2314OtherEXCELLUS INDEMINITY CARE
300343OtherWELL CARE
NYP010188235OtherEXCELLUS MANAGED CARE
5625554OtherAETNA PRODUCTS