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NPI Code Detail

MEDICARE: MS. LINDA MICHELE LEVI CPNP

MEDICARE:  MS. LINDA MICHELE LEVI  CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner380169NY

General Provider Information

NPI Number : 1528142056
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA MICHELE LEVI CPNP
Provider Business Mailing Address
First Line : 330 59TH ST
Second Line : PS 503/506
City : BROOKLYN
State : NY
Zip : 11220-3718
Country : US
Telephone Number : 718-492-1467
Fax Number : 718-439-4006
Provider Business Practice Location Address
First Line : 330 59TH ST
Second Line : PS 503/506
City : BROOKLYN
State : NY
Zip : 11220-3718
Country : US
Telephone Number : 718-492-1467
Fax Number : 718-439-4006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 03/22/2013

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