Individual
ANITA K LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MMC - SATP - UNIT 1, 3550 JEROME AVENUE, BRONX, NY 10467
(718) 920-4067
(718) 655-5470
Mailing address
39 DUNDERBERG RD, PUTNAM VALLEY, NY 10579-2113
(718) 920-4067
(718) 655-5470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001305
NY
Other
Enumeration date
12/12/2006
Last updated
08/01/2011
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