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Individual
JACOB LEVY
Active
Individual
JACOB LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
689249
NY
363LF0000X
Family Nurse Practitioner
Primary
343681
NY
Other
Enumeration date
11/17/2015
Last updated
10/15/2018
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