Individual
ANNE SOLANGE LEVEILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7901 BROADWAY # E2-27, ELMHURST, NY 11373-1329
(718) 334-2475
(718) 334-5006
Mailing address
7901 BROADWAY # E2-27, ELMHURST, NY 11373-1329
(718) 334-2475
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031074
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2019
Last updated
11/19/2024
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