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Individual

ADRIENNE SARA LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY 11787
(631) 864-7100
(631) 864-7129
Mailing address
989 WEST JERICHO TURNPIKE, SMITHTOWN, NY 11787
(631) 864-7100
(631) 864-7129

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1638871
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01099081
NY
01
050050687
MEDICARE RR
NY
Enumeration date
08/04/2006
Last updated
06/25/2008
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