Individual
MS. ELENA LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16303 HORACE HARDING EXPY LOWR LEVEL, FRESH MEADOWS, NY 11365-1454
(718) 445-5100
Mailing address
660 WHITE PLAINS RD FL ENTA4, TARRYTOWN, NY 10591-5139
(914) 333-5801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006728
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
09/25/2006
Last updated
06/21/2022
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