Individual
MISS ALYSSA PAIGE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(631) 398-9496
Mailing address
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER, BRONX, NY 10461
(631) 398-9496
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
059878-1
NY
Other
Enumeration date
04/20/2016
Last updated
12/03/2018
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