Individual
MR. CHARLES DAVID LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
80 E 11TH ST, ROOM 439, NEW YORK, NY 10003-6811
(917) 670-5370
Mailing address
128 S CENTRE ST, SOUTH ORANGE, NJ 07079-2610
(917) 670-5370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R042736-1
NY
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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