Provider Demographics
NPI:1235740275
Name:LEVIN, ANDREA HOPE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:HOPE
Last Name:LEVIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DR. A. LEVIN.
Mailing Address - Street 2:272 BEAUMONT STREET
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-541-7305
Mailing Address - Fax:
Practice Address - Street 1:280 BEAUMONT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4121
Practice Address - Country:US
Practice Address - Phone:718-541-7305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006404-0111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor