Provider Demographics
NPI:1972501500
Name:LEVE, AUSTIN R (MD)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:R
Last Name:LEVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1501 EAST AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610-1657
Mailing Address - Country:US
Mailing Address - Phone:585-244-4070
Mailing Address - Fax:585-244-4071
Practice Address - Street 1:1501 EAST AVE
Practice Address - Street 2:STE 106
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14610-1657
Practice Address - Country:US
Practice Address - Phone:585-244-4070
Practice Address - Fax:585-244-4071
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY075441-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00449303Medicaid
NYD01726Medicare UPIN
NY00449303Medicaid