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Individual
MRS. NINA N/A LEVITINA
Active
Individual
MRS. NINA N/A LEVITINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSPED
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1181884
NY
252Y00000X
Early Intervention Provider Agency
1181884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
INDIVIDUALS
NY
Enumeration date
07/01/2012
Last updated
07/01/2012
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