Charlotta Josefine Ovesdotter Levering, RD/RDN, CDN | |
410 E Broadway Apt 4p, Long Beach, NY 11561-4406 | |
(201) 280-2422 | |
Not Available |
Full Name | Charlotta Josefine Ovesdotter Levering |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 410 E Broadway Apt 4p, Long Beach, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1356000483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 010757-01 (New York) | Primary |
Provider Name | Sun River Health Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
Mailing Address | Practice Location Address |
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Charlotta Josefine Ovesdotter Levering, RD/RDN, CDN 410 E Broadway Apt 4p, Long Beach, NY 11561-4406 Ph: () - | Charlotta Josefine Ovesdotter Levering, RD/RDN, CDN 410 E Broadway Apt 4p, Long Beach, NY 11561-4406 Ph: (201) 280-2422 |
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