Individual
THEODORE LEVARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
900 W END AVE APT 1C, NEW YORK, NY 10025-3538
(917) 830-4440
Mailing address
153 BENNETT AVE APT 6C, NEW YORK, NY 10040-4021
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006533
NY
Other
Enumeration date
05/20/2019
Last updated
12/22/2020
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