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NPI Code Detail

MEDICARE: CONNIE SUSANNA LEVY PHARM.D

MEDICARE: CONNIE SUSANNA LEVY PHARM.D
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
1183500000XPharmacistPCT.0014002CT

General Provider Information

NPI Number : 1760903884
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE SUSANNA LEVY PHARM.D
Provider Business Mailing Address
First Line : 5930 SPENCER AVE
Second Line :
City : BRONX
State : NY
Zip : 10471-1912
Country : US
Telephone Number : 914-420-0783
Fax Number :
Provider Business Practice Location Address
First Line : 190 EAST AVE
Second Line :
City : NORWALK
State : CT
Zip : 06855-1112
Country : US
Telephone Number : 203-838-6141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2017
Last Update Date : 06/28/2017

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