Individual
REBECCA LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
5 PHEASANT LN, WOODBURY, NY 11797-1927
(516) 840-0425
Mailing address
5 PHEASANT LN, WOODBURY, NY 11797-1927
(516) 840-0425
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
004956
NY
2255A2300X
Athletic Trainer
Primary
2000058171
—
Other
Enumeration date
08/09/2025
Last updated
07/10/2026
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