Individual
PRUDENCE LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
140 COOKE STREET, EDGARTOWN, MA 02539
(508) 627-3235
(508) 627-7270
Mailing address
95 WEST TISBURY ROAD, EDGATOWN, MA 02539
(508) 627-3235
(508) 627-7270
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3262
MA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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