| NPI | 1356537922 |
|---|---|
| Former Name | MELISSA DIANE LEVITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 012208) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 12208) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2023-07-06 |