Individual
DIANA DAVIDA LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEC.ED.THERAPIST
Contact information
Practice address
449 FRANK ST, OCEANSIDE, NY 11572-2812
(516) 316-6013
Mailing address
449 FRANK ST, OCEANSIDE, NY 11572-2812
(516) 316-6013
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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