Individual
DR. JACQUELINE LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(917) 484-5114
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
267744
NY
Other
Enumeration date
05/27/2011
Last updated
03/05/2020
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