Provider Demographics
NPI:1013161199
Name:LEVY, FAYE ELSA (MS,OTR/L)
Entity type:Individual
Prefix:MRS
First Name:FAYE
Middle Name:ELSA
Last Name:LEVY
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 FESSLER DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2039
Mailing Address - Country:US
Mailing Address - Phone:845-364-5148
Mailing Address - Fax:
Practice Address - Street 1:29 FESSLER DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2039
Practice Address - Country:US
Practice Address - Phone:845-364-5148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-16
Last Update Date:2008-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002439225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics