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Contact Information

MIRKO LEVASSEUR, RPH
1126 NOSTRAND AVE
BROOKLYN, NY11225-5410
 Phone: 718-953-7300
 Fax: 718-953-4418
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MIRKO LEVASSEUR · (Male)

NPI # 1588697072
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 07/08/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 041681
  • NY Medicaid 01795468
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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