Annie Rose Levinson, MS, CCLS
Individual provider Active NPI Specialist · Halesite, NY
NPI 1023701463 · NPPES record last updated May 31, 2023
Key facts
- NPI
- 1023701463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 33 Ketewomoke Dr
Halesite, NY 11743-2136 - Phone
- (631) 617-8210
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
33 Ketewomoke Dr
Halesite, NY 11743-2136
Mailing address
33 Ketewomoke Dr
Halesite, NY 11743-2136
Phone (631) 617-8210
Other providers in Halesite, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.