Provider Demographics
NPI:1205975273
Name:LEVINE, ALLISON M (DC)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:M
Last Name:LEVINE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 E. MT. PLEASANT AVE.
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-992-9492
Mailing Address - Fax:973-992-6880
Practice Address - Street 1:124 E. MT. PLEASANT AVE.
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-992-9492
Practice Address - Fax:973-992-6880
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04560111N00000X
NYX007537111N00000X
PADC-005574-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V04880Medicare UPIN
X9K401Medicare ID - Type Unspecified