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Individual

EILEEN LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3712
(631) 920-8300
(631) 920-8460
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3712

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400862-1
NY

Other

Enumeration date
01/31/2007
Last updated
08/19/2009
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