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NPI Code Detail

MEDICARE: MRS. JENA LEVY LPN

MEDICARE:  MRS. JENA  LEVY  LPN
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
1164W00000XLicensed Practical NurseFL

General Provider Information

NPI Number : 1720611742
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENA LEVY LPN
Provider Business Mailing Address
First Line : 210 W 13TH ST
Second Line :
City : ELMIRA HEIGHTS
State : NY
Zip : 14903-1527
Country : US
Telephone Number : 570-423-1760
Fax Number :
Provider Business Practice Location Address
First Line : 210 W 13TH ST
Second Line :
City : ELMIRA HEIGHTS
State : NY
Zip : 14903-1527
Country : US
Telephone Number : 570-423-1760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2020
Last Update Date : 07/21/2022

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Directions to “ MRS. JENA LEVY LPN” Practice Location

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