Provider Demographics
NPI:1932768017
Name:LEVY, CHELSEA (MS)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:
Last Name:LEVY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 STUYVESANT OVAL APT 8H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2128
Mailing Address - Country:US
Mailing Address - Phone:917-414-8236
Mailing Address - Fax:
Practice Address - Street 1:3 STUYVESANT OVAL APT 8H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-2128
Practice Address - Country:US
Practice Address - Phone:917-414-8236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program