Individual
MRS. KIMBERLEY JEAN LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
281 MIDDLE COUNTRY ROAD, MIDDLE ISLANA, NY 11953
(631) 345-6670
(631) 482-1356
Mailing address
281 MIDDLE COUNTRY ROAD, MIDDLE ISLANA, NY 11953
(631) 345-6670
(631) 482-1356
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012425
NY
Other
Enumeration date
04/09/2008
Last updated
06/05/2012
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