Individual
DR. HEATHER ILYSSA LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, PH 16-66, NEW YORK, NY 10032-3720
(212) 305-3751
Mailing address
622 W 168TH ST, PH 16-66, NEW YORK, NY 10032-3720
(212) 305-3751
(212) 342-2717
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD441138
PA
207VM0101X
Maternal & Fetal Medicine Physician
265751
NY
Other
Enumeration date
03/28/2008
Last updated
09/19/2012
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