Provider Demographics
NPI:1477763837
Name:FRAM, JUDY LEVAN (PT, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:LEVAN
Last Name:FRAM
Suffix:
Gender:F
Credentials:PT, IBCLC
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:LEVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, PT
Mailing Address - Street 1:176 STERLING PL
Mailing Address - Street 2:#5R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3348
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:176 STERLING PL
Practice Address - Street 2:#5R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3348
Practice Address - Country:US
Practice Address - Phone:718-789-9451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist