Provider Demographics
NPI:1548524572
Name:LEVITIN, SHAYNA ESTHER
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:ESTHER
Last Name:LEVITIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 CROWN ST
Mailing Address - Street 2:#B5
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5152
Mailing Address - Country:US
Mailing Address - Phone:347-414-1890
Mailing Address - Fax:
Practice Address - Street 1:520 CROWN ST
Practice Address - Street 2:#B5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5152
Practice Address - Country:US
Practice Address - Phone:347-414-1890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist