Individual
NATALIYA LEVASHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 CENTRAL AVE, SUITE 308, WOODMERE, NY 11598-1205
(516) 374-7915
Mailing address
10200 SHORE FRONT PKWY, APT # 9L, ROCKAWAY PARK, NY 11694-2787
(718) 690-0272
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
016554
NY
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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