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Individual

MRS. BOBBI-JO ROSE LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS-NNP

Contact information

Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3000
Mailing address
67 MURRAY DR, OCEANSIDE, NY 11572-5721
(315) 857-3882

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
350446
NY

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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