Provider Demographics
NPI:1932488897
Name:LEVIUS-LAYNE, DAWN CELINA (BS)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:CELINA
Last Name:LEVIUS-LAYNE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 E 53RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4736
Mailing Address - Country:US
Mailing Address - Phone:917-817-3500
Mailing Address - Fax:
Practice Address - Street 1:2035 E 53RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4736
Practice Address - Country:US
Practice Address - Phone:917-817-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator