Individual
ROCHELLE LEVINE PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-A
Contact information
Practice address
670 STONELEIGH AVE, BUILDING 665 SUITE 205, CARMEL, NY 10512-3997
(845) 279-9500
Mailing address
52 CHESTER CT, CORTLANDT MANOR, NY 10567-6360
(914) 734-1217
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000033-1
NY
Other
Enumeration date
05/10/2008
Last updated
01/07/2009
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