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NPI Code Detail

MEDICARE: YULIYA LEVAKOVA

MEDICARE:   YULIYA  LEVAKOVA
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831797091
Entity Type Code : Individual
Provider Name (Legal Business Name) : YULIYA LEVAKOVA
Provider Business Mailing Address
First Line : 146 MACFARLAND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-4448
Country : US
Telephone Number : 347-615-2500
Fax Number :
Provider Business Practice Location Address
First Line : 146 MACFARLAND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-4448
Country : US
Telephone Number : 347-615-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2020
Last Update Date : 10/10/2020

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Directions to “ YULIYA LEVAKOVA ” Practice Location

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