| Alexander L Levine | |
|
358 5th Ave Rm 1003 New York NY 10001-2209 | |
| (917) 410-0558 | |
| Not Available |
| Full Name | Alexander L Levine |
|---|---|
| Speciality | Psychologist |
| Location | 358 5th Ave Rm 1003, New York, New York |
| Authorized Official Name and Position | Alexander L Levine (OWNER) |
| Authorized Official Contact | 9174100558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander L Levine 358 5th Ave Rm 1003 New York NY 10001-2209 Ph: () - | Alexander L Levine 358 5th Ave Rm 1003 New York NY 10001-2209 Ph: (917) 410-0558 |
| NPI Number | 1508505512 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 4385015999 |
|---|---|
| Medicare Enrollment ID | O20230118002022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508505512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alexander Leonard Levine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528578556 PECOS PAC ID: 9133590094 Enrollment ID: I20230201000585 |
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