Individual
MS. JUANITA DIANE LEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6500
(212) 241-8095
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6500
(212) 241-8095
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302867
NY
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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