Individual
MRS. TERRI-ANN MICHELLE LEVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-7580
Mailing address
1129 CENTRAL AVE, PLAINFIELD, NJ 07060-2812
(908) 791-9432
(908) 791-9735
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011036-1
NY
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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