Provider Demographics
NPI:1013197680
Name:LEVINGS, CATHLEEN VICTORIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:VICTORIA
Last Name:LEVINGS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:ISLIP TERRACE
Mailing Address - State:NY
Mailing Address - Zip Code:11752-1112
Mailing Address - Country:US
Mailing Address - Phone:631-581-7704
Mailing Address - Fax:631-581-9331
Practice Address - Street 1:403 WILLIAM FLOYD PKWY
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-3473
Practice Address - Country:US
Practice Address - Phone:631-399-0711
Practice Address - Fax:631-399-0773
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist