Provider Demographics
NPI:1427065168
Name:LEVIN, NATALYA (DDS)
Entity type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 JAMES STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-2163
Mailing Address - Country:US
Mailing Address - Phone:315-479-6900
Mailing Address - Fax:315-472-1191
Practice Address - Street 1:753 JAMES STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2163
Practice Address - Country:US
Practice Address - Phone:315-479-6900
Practice Address - Fax:315-472-1191
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04436211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice