Provider Demographics
NPI:1558428425
Name:LEVY, LATOYA A (LPN)
Entity type:Individual
Prefix:MISS
First Name:LATOYA
Middle Name:A
Last Name:LEVY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4409 CARPENTER AVE
Mailing Address - Street 2:APARTMENT 1B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1429
Mailing Address - Country:US
Mailing Address - Phone:347-275-3677
Mailing Address - Fax:
Practice Address - Street 1:20 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-4409
Practice Address - Country:US
Practice Address - Phone:914-751-8496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285650164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02804502Medicaid