Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 002439 | NY |
NPI | 1013161199 |
---|---|
Provider Name | Mrs. Faye Elsa Levy |
First Address | Spring Valley, NY 10977-2039 |
Second Address | Spring Valley, NY 10977-2039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2008 |
Last Update Date | 16/11/2008 |