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1912089814
JACK LEVINE
BUFFALO, NY
NPI
1912089814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NY TUV002844-1)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Dr. JACK LEVINE O.D.
2064 SENECA ST
BUFFALO, NY 14210-2343
Phone number: 716-822-1515
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Mailing Address
Dr. JACK LEVINE O.D.
120 MEYER RD #523
BUFFALO, NY 14226-1046
Phone number: 716-834-6399
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