Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 195654 | NY |
NPI | 1285794305 |
---|---|
Provider Name | Michelle Smith-Levitin |
First Address | Great Neck, NY 11021 |
Second Address | Great Neck, NY 11021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/07/2007 |