| Talilevinllc | |
|
177 Meadowbrook Dr Princeton NJ 08540-3664 | |
| (609) 924-3615 | |
| Not Available |
| Full Name | Talilevinllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 177 Meadowbrook Dr, Princeton, New Jersey |
| Authorized Official Name and Position | Avital Levin (OWNER) |
| Authorized Official Contact | 6099243615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talilevinllc 177 Meadowbrook Dr Princeton NJ 08540-3664 Ph: (609) 924-3615 | Talilevinllc 177 Meadowbrook Dr Princeton NJ 08540-3664 Ph: (609) 924-3615 |
| NPI Number | 1942772389 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 12/26/2018 |
| Medicare PECOS PAC ID | 4981941929 |
|---|---|
| Medicare Enrollment ID | O20190129001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942772389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Avital Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891914479 PECOS PAC ID: 8729137575 Enrollment ID: I20090527000314 |
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