Provider Demographics
NPI:1538432216
Name:LEVI, MERAV (RD, MS, CDN, CSG)
Entity type:Individual
Prefix:MS
First Name:MERAV
Middle Name:
Last Name:LEVI
Suffix:
Gender:F
Credentials:RD, MS, CDN, CSG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8235 134TH ST
Mailing Address - Street 2:#3G
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1400
Mailing Address - Country:US
Mailing Address - Phone:718-344-3127
Mailing Address - Fax:
Practice Address - Street 1:8235 134TH ST
Practice Address - Street 2:#3G
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-1400
Practice Address - Country:US
Practice Address - Phone:718-344-3127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6007133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered