Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 63 016451 | NY |
NPI | 1295035806 |
---|---|
Provider Name | Mrs. Devorah S Levi |
First Address | Brooklyn, NY 11210-5309 |
Second Address | Brooklyn, NY 11210-5309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2010 |
Last Update Date | 28/10/2010 |