Provider Demographics
NPI:1063857886
Name:LEVINRAD, JUDITH E (CM, CPM, LM)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:E
Last Name:LEVINRAD
Suffix:
Gender:F
Credentials:CM, CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 ROKEBY RD
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1912
Mailing Address - Country:US
Mailing Address - Phone:917-345-4257
Mailing Address - Fax:
Practice Address - Street 1:17 MEADOW LN
Practice Address - Street 2:
Practice Address - City:ACCORD
Practice Address - State:NY
Practice Address - Zip Code:12404-5615
Practice Address - Country:US
Practice Address - Phone:917-345-4257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MW00001800176B00000X
NY002306176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife