Individual provider · Type 1 NPI

Jourdan T. Levy Petrone

Specialist · Port Jefferson Station, NY

NPI number 1912650631 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Call (631) 473-4284 Map

Mailing address

380 Beech St
South Hempstead, NY 11550-7746

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1260999 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1912650631

Jourdan T. Levy Petrone's National Provider Identifier is 1912650631, issued on Feb 2, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Feb 2, 2022.