Provider Demographics
NPI:1669160693
Name:LEVIN, YANINA (SN)
Entity type:Individual
Prefix:
First Name:YANINA
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:SN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 KEYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:DINGMANS FERRY
Mailing Address - State:PA
Mailing Address - Zip Code:18328-4168
Mailing Address - Country:US
Mailing Address - Phone:917-797-6470
Mailing Address - Fax:
Practice Address - Street 1:1987 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2328
Practice Address - Country:US
Practice Address - Phone:718-748-7447
Practice Address - Fax:718-748-5191
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY749508-01163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health