Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | M0470 | TX |
NPI | 1285694166 |
---|---|
Provider Name | Fiona Howard Levy |
First Address | New York, NY 10024-1967 |
Second Address | New York, NY 10024-1967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 16/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060274002 | (05) | TX |
E72405 | (02) |