Alice Ruth Levine OTR

NPI 1407163744 - Contractor - 171W00000X

NPI Details
NPI 1407163744
Gender Female
Enumeration Date 09/08/2010
Last Updated 09/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3 PHYLLIS LN
CORAM NY, 11727-2718, US
Phone (631) 736-1201
Fax
Business Location
3 PHYLLIS LN
CORAM NY, 11727-2718, US
Phone (631) 736-1201
Fax
Toxanomy
Taxonomy Code 171W00000X
License State New York
License Number 000535-1
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According to our database, Ms. Alice Ruth Levine OTR NPI is 1407163744, taxonomy code is 171W00000X and license number is 000535-1, license state is located at New York. Alice Ruth Levine OTR physically located at 3 Phyllis Ln, Coram NY, 11727-2718. NPI Number Alice Ruth Levine OTR has the Individual type.

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1407163744 NPI number is provided on an as is basis without warranty of any kind. 1407163744 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Ruth Levine OTR are for informational purposes only.