Individual
AVIVA LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 E 31ST ST, BROOKLYN, NY 11210-4129
(845) 596-0821
Mailing address
1034 E 31ST ST, BROOKLYN, NY 11210-4129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1008446161
NY
174400000X
Specialist
985855151
NY
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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