Provider Demographics
NPI:1679584312
Name:LEVINE, DANIEL WARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:WARREN
Last Name:LEVINE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 W FAYETTE ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2859
Mailing Address - Country:US
Mailing Address - Phone:315-472-1488
Mailing Address - Fax:315-472-8060
Practice Address - Street 1:400 WESTAGE BUSINESS CENTER DR.
Practice Address - Street 2:SUITE 109
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524
Practice Address - Country:US
Practice Address - Phone:845-765-0125
Practice Address - Fax:845-765-0128
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2016-01-04
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Provider Licenses
StateLicense IDTaxonomies
NY1846251207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY332R232R21Medicare PIN
NYF85906Medicare UPIN