Provider Demographics
NPI:1902922586
Name:YEE-LEVIN, JENNY (RPAC)
Entity Type:Individual
Prefix:MISS
First Name:JENNY
Middle Name:
Last Name:YEE-LEVIN
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 EAST 63RD STREET, 11C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-832-8595
Mailing Address - Fax:212-421-0176
Practice Address - Street 1:115 EAST 61ST STREET, GROUND FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-832-8595
Practice Address - Fax:212-421-0176
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008584-1363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical