Provider Demographics
NPI:1932263894
Name:LEVIN, NEIL (DC)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:LEVIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HEWITT SQ
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-2519
Mailing Address - Country:US
Mailing Address - Phone:631-651-2929
Mailing Address - Fax:631-239-5842
Practice Address - Street 1:10 HEWITT SQ
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-2519
Practice Address - Country:US
Practice Address - Phone:631-651-2929
Practice Address - Fax:631-239-5842
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008168111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU61371Medicare UPIN
NYX67343Medicare PIN