Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 002193-1 | NY |
NPI | 1023325156 |
---|---|
Provider Name | Christina M Levy |
First Address | Chaffee, NY 14030-9414 |
Second Address | Chaffee, NY 14030-9414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2010 |
Last Update Date | 10/09/2010 |