Individual
INNA LEVTSENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E 90TH ST APT 2S, NEW YORK, NY 10128-3548
(917) 627-3670
Mailing address
250 E 90TH ST APT 2S, NEW YORK, NY 10128-3548
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307242-1
NY
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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