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Individual

LEVINIA MELARAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12234 149TH AVE FL 2, SOUTH OZONE PARK, NY 11420
(646) 330-9040
Mailing address
12234 149TH AVE FL 2, SOUTH OZONE PARK, NY 11420-3735

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308594
NY

Other

Enumeration date
01/18/2019
Last updated
01/18/2019
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