Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 046465 | CT |
N | 208000000X | Pediatrician | 235374 | NY |
Y | 2080A0000X | Adolescent Medicine | 046465 | CT |
N | 2080A0000X | Adolescent Medicine | 235374 | NY |
NPI | 1306040860 |
---|---|
Provider Name | Dr. Sara Buchdahl Levine |
First Address | Greenwich, CT 06831-4172 |
Second Address | Greenwich, CT 06831-4172 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 24/07/2008 |