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Individual
DR. REBEKKA JO LEVIS
Active
Individual
DR. REBEKKA JO LEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
253429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03250882
—
NY
01
—
A400033633
MEDICARE PTAN
NY
01
—
A400033634
MEDICARE PTAN
NY
Enumeration date
08/18/2009
Last updated
01/22/2015
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