Provider Demographics
NPI:1427411123
Name:LEVITUS, CORINNE (DO)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:LEVITUS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:156 ROUTE 59 STE C1
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5010
Mailing Address - Country:US
Mailing Address - Phone:845-357-3838
Mailing Address - Fax:845-357-6413
Practice Address - Street 1:156 ROUTE 59 STE C1
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5010
Practice Address - Country:US
Practice Address - Phone:845-357-3838
Practice Address - Fax:845-357-6413
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY310581207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program