NPI 1083004907

Roger G Levine MD

Organisation Psychiatric Residential Treatment Facility Syracuse, NY

Practice location

Address: 4914 West Seneca Turnpkie, Syracuse, NY 13215
Phone: (315) 469-2827
Fax: (888) 224-8297

Authorised official

Name: Roger G Levine
Title: Owner
Phone: (315) 469-2827

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 172860 (NY)

Other Psychiatric Residential Treatment Facility providers in New York →

Registry record

NPI: 1083004907
Entity type: Organization
NPI issued: 30 Jan 2015
Record last updated: 30 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.