Individual
JILL LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN
Contact information
Practice address
497 S OYSTER BAY RD, PLAINVIEW, NY 11803-3316
(516) 790-4985
Mailing address
20 NORTHGATE DR, SYOSSET, NY 11791-1608
(516) 790-4985
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008830
NY
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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