Provider Demographics
NPI:1265608228
Name:LEVINE, YOSSI D (ABOC, NCLC)
Entity type:Individual
Prefix:
First Name:YOSSI
Middle Name:D
Last Name:LEVINE
Suffix:
Gender:M
Credentials:ABOC, NCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 E 98TH ST FL 7
Mailing Address - Street 2:BOX 1183
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-241-0939
Mailing Address - Fax:212-987-1799
Practice Address - Street 1:5 E 98TH ST FL 7
Practice Address - Street 2:BOX 1183
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-0939
Practice Address - Fax:212-987-1799
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007861156FC0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter