MRS. Jaclynne Levenson

NPI #1710249347 in Glen Cove, New York

Provider Information

NPI Number: 1710249347
Entity Type: Individual
Name: MRS. Jaclynne Levenson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 11, 2012
Last Updated: Jun 11, 2012

Practice Location

Address: 19 TULANE RD
City: Glen Cove
State: New York
ZIP Code: 11542-2002
Phone: (516) 662-8631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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