Individual
KATHLEEN LEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
248 HIGBIE LN FL 1, WEST ISLIP, NY 11795-2828
(631) 867-2501
Mailing address
85 PHILADELPHIA AVE, MASSAPEQUA PARK, NY 11762-2547
(631) 383-1872
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
221700000X
Art Therapist
Primary
P133207
NY
Other
Enumeration date
07/26/2016
Last updated
01/16/2025
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